Individual
MR. LARRY D. GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.D.
Contact information
Practice address
880 E GRANT ST, LEBANON, OR 97355-4436
(541) 451-1660
Mailing address
880 E GRANT ST, LEBANON, OR 97355-4436
(541) 451-1660
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DT-DO-143900
OR
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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