William E Gipson DDS PC

NPI #1497979645 in La Grange, Illinois

Provider Information

NPI Number: 1497979645
Entity Type: Organization
Organization Name: William E Gipson DDS PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 12, 2007
Last Updated: Jun 18, 2012

Practice Location

Address: 6 SO SIXTH AVE
City: La Grange
State: Illinois
ZIP Code: 60525-2401
Phone: (708) 352-1495

Authorized Official

Name: WILLIAM EUGENE GIPSON, DDS
Title: PRESIDENT OF CORPORATION
Phone: (708) 352-1495

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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