| NPI | 1659697670 |
|---|---|
| Former Name | ASHLEY EILEEN GIBBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 30-023206) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2014-10-19 |