Individual
PATRICIA GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
301 LAKEHURST RD, TOMS RIVER, NJ 08755-7335
(732) 552-0377
(732) 552-0378
Mailing address
101 2ND ST, LAKEWOOD, NJ 08701-3324
(732) 363-6655
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI19001
NJ
Other
Enumeration date
06/19/2007
Last updated
12/02/2011
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