Individual
MICHAEL J GIBBONS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
7477 E DOUBLETREE RANCH RD, SUITE 200, SCOTTSDALE, AZ 85258-2048
(480) 368-0060
(480) 443-1869
Mailing address
11111 N SCOTTSDALE RD, STE 220, SCOTTSDALE, AZ 85254-6732
(480) 368-0060
(480) 443-1869
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
D2139
AZ
Other
Enumeration date
07/07/2005
Last updated
05/05/2016
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