Organization
GILBRETH GROUP LLC
Active
Other names
John Gilbreth DDS MS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BRIAN GILBRETH D.D.S M.S. (MANAGER)
(505) 903-6916
Entity
Organization
Contact information
Practice address
4111 BARBARA LOOP SE STE B, RIO RANCHO, NM 87124-1068
(505) 903-6916
(505) 903-7188
Mailing address
4111 BARBARA LOOP SE STE B, RIO RANCHO, NM 87124-1068
(505) 903-6916
(505) 903-7188
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DD3973
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09983881
—
NM
Enumeration date
10/06/2014
Last updated
10/06/2014
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