Individual
ADRA GIBSON WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3439 MCGEHEE RD STE B, UNIT 22, MONTGOMERY, AL 36111-3334
(334) 288-1868
Mailing address
16 ARCADE UNIT 198747, NASHVILLE, TN 37219-1994
(615) 753-0343
(615) 986-1705
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AL4637
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009943086
—
AL
Enumeration date
04/30/2007
Last updated
06/25/2013
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