| NPI | 1194486522 |
|---|---|
| Doing Business As | GIBSON ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | MATTHEW GIBSON Managing Member 256-797-6135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2023-02-17 |