Individual
DR. JAMIE L GIBULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8907 S HOWELL AVE STE 400, OAK CREEK, WI 53154-4460
(414) 304-5425
(414) 301-9465
Mailing address
8907 S HOWELL AVE STE 400, OAK CREEK, WI 53154-4460
(414) 304-5425
(414) 301-9465
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
100-2486-15
WI
Other
Enumeration date
10/08/2020
Last updated
03/28/2025
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