Chad Randal Gibson D.D.S.

NPI 1811285703 - Dentist - 1223G0001X

NPI Details
NPI 1811285703
Gender Male
Enumeration Date 07/13/2011
Last Updated 07/13/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
6633 TELEPHONE RD
SUITE #225
VENTURA CA, 93003-5569, US
Phone (805) 642-1555
Fax (805) 642-1687
Business Location
6633 TELEPHONE RD
SUITE #225
VENTURA CA, 93003-5569, US
Phone (805) 642-1555
Fax (805) 642-1687
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 59654
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According to our database, Dr. Chad Randal Gibson D.D.S. NPI is 1811285703, taxonomy code is 1223G0001X and license number is 59654, license state is located at California. Chad Randal Gibson D.D.S. physically located at 6633 Telephone Rd, Ventura CA, 93003-5569. NPI Number Chad Randal Gibson D.D.S. has the Individual type.

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1811285703 NPI number is provided on an as is basis without warranty of any kind. 1811285703 is maintained by the National Plan & Provider Enumeration System. The contents of Chad Randal Gibson D.D.S. are for informational purposes only.