Individual
DR. MARK BRECKENRIDGE GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
901 PINE TREE DR, NEW BERN, NC 28562-4435
(252) 633-5544
Mailing address
901 PINE TREE DR, NEW BERN, NC 28562-4435
(252) 633-5544
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9029
NC
Other
Enumeration date
03/11/2011
Last updated
03/11/2011
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