Individual
DR. DAVID WAYNE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1171 MURRIETA BLVD STE 101, LIVERMORE, CA 94550-4143
(925) 455-9510
(925) 455-9517
Mailing address
1171 MURRIETA BLVD STE 101, LIVERMORE, CA 94550-4143
(925) 455-9510
(925) 455-9517
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40596
CA
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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