| NPI | 1336332832 |
|---|---|
| Doing Business As | GIBBERMAN DENTAL |
| Entity Type | Organization |
| Authorized Contact | PAUL GIBBERMAN Owner/Dentist 703-823-6616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401005538) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401411023) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |