Individual
DR. JERRY LEON GRIBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA MPH DDS
Contact information
Practice address
10066 LAKEVIEW CT, WB26A, WHITNEY, TX 76692-5653
(254) 694-2355
Mailing address
10066 LAKEVIEW CT, WB26A, WHITNEY, TX 76692-5653
(254) 694-2355
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7831
TX
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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