Individual
DR. GARY RANDALL GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
30 ALEXANDRIA BLVD STE 1010, OVIEDO, FL 32765-8277
(407) 365-6200
Mailing address
30 ALEXANDRIA BLVD STE 1010, OVIEDO, FL 32765-8277
(407) 365-6200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN22765
FL
Other
Enumeration date
07/24/2017
Last updated
07/21/2022
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