Organization
CANDICE L. GIBBONS, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CANDICE LEIGH GIBBONS D.D.S. (PRESIDENT)
(815) 485-2536
Entity
Organization
Contact information
Practice address
2449 E JOLIET HWY, NEW LENOX, IL 60451-2592
(815) 485-2536
(815) 485-2645
Mailing address
2449 E JOLIET HWY, NEW LENOX, IL 60451-2592
(815) 485-2536
(815) 485-2645
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.024459
IL
Other
Enumeration date
10/10/2006
Last updated
08/12/2008
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