Individual
DR. BRIAN ALEXANDER GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
708 E 20TH ST, FARMINGTON, NM 87401-4205
(505) 327-6155
Mailing address
4231 CARDON DR, FARMINGTON, NM 87401-9284
(505) 515-5123
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DB-2023-0163
NM
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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