Individual
ROBERT LAWRENCE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2303 N CORAL CANYON BLVD #202, WASHINGTON, UT 84780
(435) 652-4284
(435) 652-4309
Mailing address
2303 N CORAL CANYON BLVD #202, WASHINGTON, UT 84780
(435) 652-4284
(435) 652-4309
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1451829922
UT
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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