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Organization
GLENN E. GIBSON, DDS
Active
Organization
GLENN E. GIBSON, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN E GIBSON DDS (OWNER)
(619) 216-9900
Entity
Organization
Contact information
Practice address
885 CANARIOS CT, 204, CHULA VISTA, CA 91910-7877
(619) 216-9900
(619) 216-9461
Mailing address
885 CANARIOS CT, 204, CHULA VISTA, CA 91910-7877
(619) 216-9900
(619) 216-9461
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33091
CA
Other
Enumeration date
01/30/2009
Last updated
03/03/2015
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