SUSAN BALLOU GIBSON

SOMERSET, KY
NPI1902958887
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223P0300X Dentist Periodontics
(Licence: KY  6224)
Enumeration Date2007-01-18
Last Update Date2007-07-08
Business Address
DR. SUSAN BALLOU GIBSON DMD, MSD
110 HARDIN LN SUITE 2
SOMERSET, KY 42503-3818
Phone number: 606-678-9664
Mailing Address
DR. SUSAN BALLOU GIBSON DMD, MSD
110 HARDIN LN SUITE 2
SOMERSET, KY 42503-3818
Phone number: 606-678-9664