William Caleb Gillum, DDS Valid NPI
Individual provider · Dentist · Edgewater, CO
- NPI
- 1568071009
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- DEN.00204464 (CO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2020-07-30
- Last updated
- 2020-07-30
Practice location
1921 Sheridan Blvd Unit F
Edgewater, CO 80214-1315
(330) 202-3550