Organization
DELON K GILBERT, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DELON GILBERT DDS (PRESIDENT)
(503) 810-3840
Entity
Organization
Contact information
Practice address
278 ROWE STREET, #205, WHEELER, OR 97147
(503) 810-3840
Mailing address
P.O. BOX 164, 278 ROWE STREET, WHEELER, OR 97147
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8055
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231013
—
OR
Enumeration date
04/06/2012
Last updated
04/06/2012
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