Individual
DR. JOHN ACE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1062 EAST LANCASTER AVE., APT. 510-11, BRYN MAWR, PA 19010-1524
(610) 348-5747
(610) 667-4373
Mailing address
1062 EAST LANCASTER AVE., APT. 510-11, BRYN MAWR, PA 19010-1524
(610) 348-5747
(610) 667-4373
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
034460
NY
1223G0001X
General Practice Dentistry
DS022006L
PA
Other
Enumeration date
06/21/2006
Last updated
11/13/2013
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