RICHARD S GILLUM

GREENWOOD, IN
NPI1962554204
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12008573)
Enumeration Date2007-01-17
Last Update Date2007-07-08
Business Address
-- RICHARD S GILLUM D.D.S.
1259 N STATE ROAD 135 SUITE E
GREENWOOD, IN 46142-1033
Phone number: 317-888-7576
Mailing Address
-- RICHARD S GILLUM D.D.S.
1259 N STATE ROAD 135 SUITE E
GREENWOOD, IN 46142-1033
Phone number: 317-888-7576
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