NPI 1063524338
Gus E Tiboris, DDS
Practice location
- Address
- 1630 N Taylor Dr, Sheboygan, WI 53081-1929
- Phone
- (920) 457-2255
- Fax
- (920) 458-0469
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1063524338
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 31 Aug 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.