Individual
DR. JOHN PHILLIP GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
500 PRIMROSE RD, BURLINGAME, CA 94010-4088
(650) 342-5801
(650) 342-5803
Mailing address
500 PRIMROSE RD, BURLINGAME, CA 94010-4088
(650) 342-5801
(650) 342-5803
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13802
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
942145254
DELTA DENTAL
CA
Enumeration date
10/22/2012
Last updated
10/22/2012
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