Organization
PEDIATRIC DENTISTRY OF DENTON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REX GIBSON DDS (OWNER)
(541) 408-1057
Entity
Organization
Contact information
Practice address
2185 BRINKER RD STE 110, DENTON, TX 76208-6999
(940) 222-4589
Mailing address
2185 BRINKER RD STE 110, DENTON, TX 76208-6999
(940) 222-4589
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
10/11/2022
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