NPI | 1073963625 |
---|---|
Doing Business As | GIBSON DENTAL |
Entity Type | Organization |
Authorized Contact | MATT GIBSON Dentist 256-724-3530 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 6093) |
Enumeration Date | 2016-06-14 |
Last Update Date | 2016-06-14 |