Individual
DR. LAURENCE O GIBBONS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4303 16TH STREET NW, WASHINGTON, DC 20011-7011
(202) 723-2266
Mailing address
4303 16TH STREET NW, WASHINGTON, DC 20011-7011
(202) 723-2266
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN3068
DC
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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