DR. Rex Shannon Gibson, D.D.S

NPI #1174730287 in Bend, Oregon

Provider Information

NPI Number
1174730287
Entity Type
Individual
Name
DR. Rex Shannon Gibson, D.D.S
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Pediatric Dentistry
Credential
D.D.S
Enumeration Date
May 17, 2007
Last Updated
Jan 15, 2008

Practice Location

Address
1245 SE 3RD ST
Address 2
STE #A-1
City
Bend
State
Oregon
ZIP Code
97702-2161
Phone
(541) 318-5688

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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