Individual
DR. DALE LAWRENCE GIEBINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1631 WETZEL AVENUE, BLDG 815, US ARMY DENTAL ACTIVITY, FORT CARSON, CO 80913
(719) 526-5537
(719) 526-5551
Mailing address
1631 WETZEL AVENUE, BLDG 815, US ARMY DENTAL ACTIVITY, FORT CARSON, CO 80913
(719) 526-5537
(719) 526-5551
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN-9696
CO
1223P0221X
Pediatric Dentistry
14053
TX
Other
Enumeration date
12/29/2005
Last updated
04/23/2012
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