Organization
KATHLEEN E. GIBNEY DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN E GIBNEY (DENTIST)
(313) 882-7152
Entity
Organization
Contact information
Practice address
19511 MACK AVE, GROSSE POINTE WOODS, MI 48236-2836
(313) 882-7152
Mailing address
19511 MACK AVE, GROSSE POINTE WOODS, MI 48236-2836
(313) 882-7152
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901016252
MI
Other
Enumeration date
09/21/2006
Last updated
08/22/2020
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