PHATTARA GIBBS

LAKELAND, FL
NPI1205094117
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: FL  DN18269)
Enumeration Date2008-05-28
Last Update Date2009-11-03
Business Address
Dr. PHATTARA GIBBS DMD
4744 S FLORIDA AVE
LAKELAND, FL 33813-2181
Phone number: 863-644-1226
Mailing Address
Dr. PHATTARA GIBBS DMD
5801 S MACDILL AVE UNIT 14
TAMPA, FL 33611-4482
Phone number: 813-368-3984
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