Individual
DR. CHAD RANDAL GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6633 TELEPHONE RD, SUITE #225, VENTURA, CA 93003-5569
(805) 642-1555
(805) 642-1687
Mailing address
6633 TELEPHONE RD, SUITE #225, VENTURA, CA 93003-5569
(805) 642-1555
(805) 642-1687
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
59654
CA
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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