Individual
DR. CHARLES GARY GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2068 BRIDGEPORT AVE, MILFORD, CT 06460-4634
(203) 874-7444
Mailing address
2068 BRIDGEPORT AVE, MILFORD, CT 06460-4634
(203) 874-7444
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
005884
CT
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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