NPI | 1346392586 |
---|---|
Former Legal Business Name | DR. GUY L BIBBS JR |
Entity Type | Organization |
Authorized Contact | GUY L BIBBS Orthodontist 312-346-2575 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 01916195) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2020-08-22 |