Individual
DR. JAMES R GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
411 N LARCHMONT BLVD, LOS ANGELES, CA 90004-0313
(323) 466-3279
(323) 466-1261
Mailing address
411 N LARCHMONT BLVD, LOS ANGELES, CA 90004-0313
(323) 466-3279
(323) 466-1261
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
15045
CA
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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