| NPI | 1710176086 | 
|---|---|
| Other Name | ROBERT E. GILLIS, JR, DMD, MSD, INC. | 
| Entity Type | Organization | 
| Authorized Contact | ROBERT E GILLIS Doctor 916-731-5778  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: CA 22070)  | 
| Enumeration Date | 2007-10-23 | 
| Last Update Date | 2007-10-23 |