Individual
RYAN C GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
670 S. GREEN VALLEY PKWY #115, HENDERSON, NV 89052
(702) 685-3700
(702) 685-3701
Mailing address
670 S. GREEN VALLEY PKWY #115, HENDERSON, NV 89052
(702) 685-3700
(702) 685-3701
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DR20000158
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
S2-100
NV
Other
Enumeration date
08/30/2006
Last updated
03/19/2020
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