Harry E Gibson, DDS Valid NPI
Individual provider · General Practice Dentistry · Watertown, WI
- NPI
- 1467509430
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 2641 (MN)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-01-04
- Last updated
- 2007-07-08
Practice location
1149 Boughton St Bldg B
Watertown, WI 53094-3104
(920) 261-0495