Organization
CLIBON DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY CLIBON D.D.S. (PRESIDENT)
(760) 245-8616
Entity
Organization
Contact information
Practice address
15366 11TH ST, SUITE G, VICTORVILLE, CA 92395-3726
(760) 245-8616
Mailing address
15366 11TH ST, SUITE G, VICTORVILLE, CA 92395-3726
(760) 245-8616
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
44580
CA
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
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