IndividualActive
Holly Gilliland
NPI 1801580212 · Dental Assistant · Joint Base Lewis-Mcchord, WA
Provider details
- NPI number
- 1801580212
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- D161427317 (WA)
Specialties & taxonomies
Dental Providers
Practice location
11572 17th and C Street
Joint Base Lewis-Mcchord, WA 98433
Phone: (253) 967-4989
Fax: (253) 967-7216
Approximate (ZIP-level) locationGet directions
Mailing address
11572 C Street
Jblm, WA 98433
Registry dates
- Enumerated
- 2023-06-07
- Last updated
- 2023-06-07
- Certified
- 2023-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.