Individual
MICHAEL GIBILISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 MARKET PL, ESSEX JUNCTION, VT 05452-2940
(802) 878-5591
Mailing address
11 MARKET PL, ESSEX JUNCTION, VT 05452-2940
(802) 878-5591
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
016.0112253
VT
Other
Enumeration date
03/27/2014
Last updated
06/24/2016
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