Organization
GIBSON & LEAVITT ORAL, MAXILLOFACIAL AND IMPLANT SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN C GIBSON DDS (OWNER)
(702) 685-3700
Entity
Organization
Contact information
Practice address
670 S. GREEN VALLEY PKWY #115, HENDERSON, NV 89052
(702) 685-3700
(702) 685-3701
Mailing address
670 S. GREEN VALLEY PKWY #115, HENDERSON, NV 89052
(702) 685-3700
(702) 685-3701
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/17/2009
Last updated
08/24/2022
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