ROBERT BLACKFORD GILLUM

FRIDLEY, MN
NPI1427192368
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: MN  D8290)
Enumeration Date2007-02-16
Last Update Date2007-07-08
Business Address
-- ROBERT BLACKFORD GILLUM DDS
7136 UNIVERSITY AVE NE
FRIDLEY, MN 55432-3100
Phone number: 763-574-1639
Mailing Address
-- ROBERT BLACKFORD GILLUM DDS
7136 UNIVERSITY AVE NE
FRIDLEY, MN 55432-3100
Phone number: 763-574-1639
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