Individual
DR. WALTER SMITH GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
113 MAIN ST, NEWPORT NEWS, VA 23601-4104
(757) 595-0983
Mailing address
113 MAIN ST, NEWPORT NEWS, VA 23601-4104
(757) 595-0983
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5346
VA
Other
Enumeration date
01/27/2007
Last updated
07/08/2007
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