| Gibilisco Dental Pllc | |
|
369 Heineberg Dr Colchester VT 05446-6774 | |
| (802) 658-4873 | |
| (802) 863-5400 |
| Full Name | Gibilisco Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 369 Heineberg Dr, Colchester, Vermont |
| Authorized Official Name and Position | Kristen M Gibilisco (PRESIDENT/OWNER) |
| Authorized Official Contact | 4134543412 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gibilisco Dental Pllc 16 Davis Hill Rd South Hero VT 05486-4500 Ph: () - | Gibilisco Dental Pllc 369 Heineberg Dr Colchester VT 05446-6774 Ph: (802) 658-4873 |
| NPI Number | 1528724564 |
|---|---|
| Provider Enumeration Date | 11/15/2021 |
| Last Update Date | 11/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528724564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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