Individual
MISS INDIA D GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7320 HIGHWAY 90A STE 290, SUGAR LAND, TX 77478-3597
(832) 930-7858
(832) 939-8171
Mailing address
7320 HIGHWAY 90A STE 290, SUGAR LAND, TX 77478-3597
(832) 930-7858
(832) 939-8171
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5931
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24202
TEXAS STATE LICENSE
TX
01
—
5931
LA STATE LICENSE
LA
Enumeration date
10/15/2008
Last updated
07/21/2022
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