DR. Gibson O, DDS

NPI #1154586170 in Alamogordo, New Mexico

Provider Information

NPI Number: 1154586170
Entity Type: Individual
Name: DR. Gibson O, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 21, 2008
Last Updated: Apr 8, 2021

Practice Location

Address: 2150 HIGHWAY 54 S
City: Alamogordo
State: New Mexico
ZIP Code: 88310-7330
Phone: (575) 443-8133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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