Individual
MRS. LORI ANN AMELIA GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 SCHOOL STREET, BETHEL, CT 06801
(203) 744-1646
(203) 798-6801
Mailing address
5 KNOLLWOOD LANE, NEW FAIRFIELD, CT 06812
(203) 746-3772
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
002658
CT
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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