KENNETH ROY GIBERSON

FAIRFAX, VA
NPI1427125954
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: VA  05303)
Enumeration Date2006-11-29
Last Update Date2007-07-08
Business Address
Dr. KENNETH ROY GIBERSON D.D.S.
10875 MAIN ST SUITE 206
FAIRFAX, VA 22030-4732
Phone number: 703-273-2040
Mailing Address
Dr. KENNETH ROY GIBERSON D.D.S.
10875 MAIN ST SUITE 206
FAIRFAX, VA 22030-4732
Phone number: 703-273-2040
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