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1679780902
CHARLES MICHAEL GILLIAM
POMPANO BEACH, FL
NPI
1679780902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: FL 10912)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
Dr. CHARLES MICHAEL GILLIAM DDS
2700 NE 14TH STREET CSWY SUITE #105
POMPANO BEACH, FL 33062-3561
Phone number: 954-941-2412
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Mailing Address
Dr. CHARLES MICHAEL GILLIAM DDS
2700 NE 14TH STREET CSWY SUITE #105
POMPANO BEACH, FL 33062-3561
Phone number: 954-941-2412
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