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1780690404
WYLAND WILSON GIBBS
GRAND RAPIDS, MI
NPI
1780690404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: MI 2901007648)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
-- WYLAND WILSON GIBBS D.D.S.
2139 WILDFIELD DR NE
GRAND RAPIDS, MI 49505-6321
Phone number: 616-361-8506
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Mailing Address
-- WYLAND WILSON GIBBS D.D.S.
2139 WILDFIELD DR NE
GRAND RAPIDS, MI 49505-6321
Phone number: 616-361-8506
Copy
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