Individual
KIMBERLY MICHELLE PARESA GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
700 CHILDRENS DR STE 5A, COLUMBUS, OH 43205-2639
(614) 722-2000
Mailing address
600 W GOODALE ST APT 567, COLUMBUS, OH 43215-1910
(503) 348-5765
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
RES.004457
OH
1223G0001X
General Practice Dentistry
Primary
D10855
OR
Other
Enumeration date
07/25/2018
Last updated
07/28/2022
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