| Glenn E. Gibson, Dds | |
|
885 Canarios Ct 204 Chula Vista CA 91910-7877 | |
| (619) 216-9900 | |
| (619) 216-9461 |
| Full Name | Glenn E. Gibson, Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 885 Canarios Ct, Chula Vista, California |
| Authorized Official Name and Position | Glenn E Gibson (OWNER) |
| Authorized Official Contact | 6192169900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn E. Gibson, Dds 885 Canarios Ct 204 Chula Vista CA 91910-7877 Ph: (619) 216-9900 | Glenn E. Gibson, Dds 885 Canarios Ct 204 Chula Vista CA 91910-7877 Ph: (619) 216-9900 |
| NPI Number | 1386882215 |
|---|---|
| Provider Enumeration Date | 01/30/2009 |
| Last Update Date | 03/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386882215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 33091 (California) | Primary |
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