Individual
DR. AUSTIN JAMES GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
110 S IDAHO RD, STE 260, APACHE JUNCTION, AZ 85119-2379
(480) 982-0782
Mailing address
110 S IDAHO RD, STE 260, APACHE JUNCTION, AZ 85119-2379
(480) 982-0782
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D009526
AZ
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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