Individual
MICHELLE GIBBONS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
301A E PRICE AVE, SAVANNAH, MO 64485-1739
(816) 324-5644
(816) 324-6307
Mailing address
301A E PRICE AVE, SAVANNAH, MO 64485-1739
(816) 324-5644
(816) 324-6307
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2004014076
MO
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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