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1982013124
KELLY GIBSON
HUNTINGTON BEACH, CA
NPI
1982013124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 63620)
Enumeration Date
2014-08-12
Last Update Date
2014-08-12
Business Address
-- KELLY GIBSON DDS
18800 MAIN ST STE 202
HUNTINGTON BEACH, CA 92648-1718
Phone number: 714-848-2278
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Mailing Address
-- KELLY GIBSON DDS
18800 MAIN ST STE 202
HUNTINGTON BEACH, CA 92648-1718
Phone number: 714-848-2278
Copy
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