Individual
DR. ALLISON NICOLE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4027 S LAFOUNTAIN ST, KOKOMO, IN 46902-6913
(765) 453-9389
Mailing address
4027 S LAFOUNTAIN ST, KOKOMO, IN 46902-6913
(765) 453-9389
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011980A
IN
Other
Enumeration date
06/13/2013
Last updated
03/27/2024
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