Individual
DR. CHAZ MICHAEL GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8700 SANTA FE DR, OVERLAND PARK, KS 66212-3654
(913) 416-6602
Mailing address
8700 SANTA FE DR, OVERLAND PARK, KS 66212-3654
(913) 416-6602
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61339
KS
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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