Individual
DR. STEPHEN WALTER GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2010 BOTULPH RD, SANTA FE, NM 87505
(505) 983-1312
(505) 983-8170
Mailing address
2010 BOTULPH RD, SANTA FE, NM 87505
(505) 983-1312
(505) 983-8170
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
001067
NM
Other
Enumeration date
04/22/2006
Last updated
07/08/2007
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