Individual
DR. GIBSON BARTELUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2830 CAMPUS WAY N STE 614, LANHAM, MD 20706-1669
(301) 955-9198
Mailing address
7730 HARKINS RD APT 471, LANHAM, MD 20706-1365
(617) 633-4312
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1858161
MA
1223G0001X
General Practice Dentistry
Primary
17357
MD
Other
Enumeration date
07/03/2017
Last updated
06/18/2024
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