Individual
DR. SANDRA WELLS GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5445 N KOLB RD, SUITE 205, TUCSON, AZ 85750-0744
(520) 577-7667
(520) 577-1737
Mailing address
5445 N KOLB RD, SUITE 205, TUCSON, AZ 85750-0744
(520) 577-7667
(520) 577-1737
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4493
AZ
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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