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1578698031
SCOTT RUSSELL GILLILAND
CHARLEVOIX, MI
NPI
1578698031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MI 2901017529)
Enumeration Date
2007-02-23
Last Update Date
2007-07-08
Business Address
SCOTT RUSSELL GILLILAND DDS
220 W GARFIELD AVE
CHARLEVOIX, MI 49720-1631
Phone number: 231-547-6523
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Mailing Address
SCOTT RUSSELL GILLILAND DDS
24 CABERFAE HWY LOT 8
MANISTEE, MI 49660-1171
Phone number: 248-505-9132
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