Gilliland, Brent Leslie

Gilliland, Brent Leslie is an individual health care provider with primary practice located at 12Th Aeromedical-Dental Squadron 221 3Rd Street West, Randolph Afb TX 78150-4801. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gilliland, Brent Leslie can be contacted via phone (210) 652-1846.

Contact Information

Primary practice address
12Th Aeromedical-Dental Squadron 221 3Rd Street West Randolph Afb TX 78150-4801
Phone: (210) 652-1846
Fax: (210) 652-1368
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 13335 Texas

Profile Details

NPI number 1902890676
LBN Legal business name Gilliland, Brent Leslie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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