Organization
GIBILISCO DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTEN M GIBILISCO DMD (PRESIDENT/OWNER)
(413) 454-3412
Entity
Organization
Contact information
Practice address
369 HEINEBERG DR, COLCHESTER, VT 05446-6774
(802) 658-4873
(802) 863-5400
Mailing address
16 DAVIS HILL RD, SOUTH HERO, VT 05486-4500
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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