| Gregory L Gullikson Dmd Pa | |
|
1853 Knox Mcrae Dr Titusville FL 32780-5492 | |
| (321) 267-2934 | |
| (321) 267-3698 |
| Full Name | Gregory L Gullikson Dmd Pa |
|---|---|
| Speciality | Dentist |
| Location | 1853 Knox Mcrae Dr, Titusville, Florida |
| Authorized Official Name and Position | Gregory Lee Gullikson (DENTIST) |
| Authorized Official Contact | 3212672934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory L Gullikson Dmd Pa 1853 Knox Mcrae Dr Titusville FL 32780-5492 Ph: (321) 267-2934 | Gregory L Gullikson Dmd Pa 1853 Knox Mcrae Dr Titusville FL 32780-5492 Ph: (321) 267-2934 |
| NPI Number | 1982085296 |
|---|---|
| Provider Enumeration Date | 06/11/2015 |
| Last Update Date | 06/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982085296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN11987 (Florida) | Primary |
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