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Organization
WILLIAM E GIPSON DDS PC
Active
Organization
WILLIAM E GIPSON DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM EUGENE GIPSON DDS (PRESIDENT OF CORPORATION)
(708) 352-1495
Entity
Organization
Contact information
Practice address
6 SO SIXTH AVE, LA GRANGE, IL 60525-2401
(708) 352-1495
(708) 352-1524
Mailing address
6 SO SIXTH AVE, LA GRANGE, IL 60525-2401
(708) 352-1495
(708) 352-1524
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019014566
IL
Other
Enumeration date
04/12/2007
Last updated
06/18/2012
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