Individual
RISE A. GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
342 MUSKINGUM DRIVE, MARIETTA, OH 45750
(740) 374-2782
(740) 376-7074
Mailing address
36320 COUNTY HIGHWAY 122, BARNESVILLE, OH 43713
(740) 425-3390
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
31-003462
OH
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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