| NPI | 1407465966 |
|---|---|
| Doing Business As | GIBBON FAMILY DENTAL |
| Doing Business As | OVERTON FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | AARON JEFFREY MADSEN Clinic Administrator 308-708-7970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2026-01-15 |