Individual
DR. MONICA PRASAD GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS, PHD, MS, FRCDC
Contact information
Practice address
1121 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5211
(317) 274-5122
Mailing address
1121 W MICHIGAN ST # 423, INDIANAPOLIS, IN 46202-5211
(317) 274-5122
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12014259A
IN
Other
Enumeration date
08/09/2013
Last updated
01/20/2024
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