Individual
COLLEEN M GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
6601 W THOMAS RD, PHOENIX, AZ 85033-5700
(602) 243-7277
Mailing address
9160 W COOLBROOK AVE, PEORIA, AZ 85382-3111
(602) 679-1720
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H03017
AZ
Other
Enumeration date
10/13/2021
Last updated
10/29/2024
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