Individual
ROGER GIBBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
305 N GEORGE ST, MILLERSVILLE, PA 17551-1523
(717) 872-7496
Mailing address
305 N GEORGE ST, MILLERSVILLE, PA 17551-1523
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DSO20165L
PA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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