Gibilisco Dental Pllc
NPI #1528724564 in Colchester, Vermont
Provider Information
- NPI Number
- 1528724564
- Entity Type
- Organization
- Organization Name
- Gibilisco Dental Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 15, 2021
- Last Updated
- Nov 15, 2021
Practice Location
- Address
- 369 HEINEBERG DR
- City
- Colchester
- State
- Vermont
- ZIP Code
- 05446-6774
- Phone
- (802) 658-4873
Authorized Official
- Name
- DR. KRISTEN M GIBILISCO, DMD
- Title
- PRESIDENT/OWNER
- Phone
- (413) 454-3412
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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