Gibson, Glenn Edward

Gibson, Glenn Edward is an sole proprietor health care provider with primary practice located at 885 Canarios Ct Suite 204, Chula Vista CA 91910-7877. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gibson, Glenn Edward can be contacted via phone (619) 216-9481.

Contact Information

Primary practice address
885 Canarios Ct Suite 204 Chula Vista CA 91910-7877
Fax: (619) 216-9461
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 33091 California

Profile Details

NPI number 1144381427
LBN Legal business name Gibson, Glenn Edward
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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