Organization
LAURENCE O GIBBONS JR DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURENCE O GIBBONS JR. DDS MA (PRESIDENT)
(202) 723-2266
Entity
Organization
Contact information
Practice address
4303 16TH STREET NW, WASHINGTON, DC 20011-7011
(202) 723-2266
(202) 726-3552
Mailing address
4303 16TH STREET NW, WASHINGTON, DC 20011-7011
(202) 723-2266
(202) 726-3552
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN3068
DC
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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