Individual
MRS. EDITH S GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
26216 HIGHWAY 135, CRESTED BUTTE, CO 81224
(970) 596-4458
Mailing address
PO BOX 13, CRESTED BUTTE, CO 81224-0013
(970) 596-4458
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH-904336
CO
Other
Enumeration date
05/15/2007
Last updated
09/24/2013
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