Individual
DR. COLIN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.S.
Contact information
Practice address
1333 W 120TH AVE, SUITE 303, WESTMINSTER, CO 80234-2708
(303) 452-2277
(303) 452-9520
Mailing address
1333 W 120TH AVE, SUITE 303, WESTMINSTER, CO 80234-2708
(303) 452-2277
(303) 452-9520
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8800
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063437937
NPI TYPE 2 FOR 1ST IMPRES
CO
Enumeration date
06/01/2007
Last updated
07/08/2007
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