Provider Demographics
NPI:1225189285
Name:H S GILL DDS INC
Entity type:Organization
Organization Name:H S GILL DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GUILLE
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-923-3640
Mailing Address - Street 1:3065 S ARCHIBALD AVE STE B
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91761-9000
Mailing Address - Country:US
Mailing Address - Phone:909-923-3640
Mailing Address - Fax:909-947-7728
Practice Address - Street 1:3065 S ARCHIBALD AVE STE B
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91761-9000
Practice Address - Country:US
Practice Address - Phone:909-923-3640
Practice Address - Fax:909-947-7728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34845122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty