Organization
GIBBONS DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENIE KUBLE (CONTACT OFFICER)
(920) 450-0157
Entity
Organization
Contact information
Practice address
207 HIGH ST, MINERAL POINT, WI 53565-1209
(608) 987-2885
Mailing address
207 HIGH ST, MINERAL POINT, WI 53565-1209
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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