Individual
DR. JOHN B GILBRETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S M.S.
Contact information
Practice address
4111 BARBARA LOOP SE, SUITE B, RIO RANCHO, NM 87124-1068
(505) 903-6916
(505) 903-7188
Mailing address
4111 BARBARA LOOP SE, SUITE B, RIO RANCHO, NM 87124-1068
(505) 903-6916
(505) 903-7188
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DD3973
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/13/2010
Last updated
01/09/2014
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