Individual
DIALA GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 590-1800
Mailing address
1775 GRAND CONCOURSE FL 6, BRONX, NY 10453-8202
(623) 523-9048
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
059955-1
NY
Other
Enumeration date
06/01/2017
Last updated
09/14/2018
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