Organization
ANDREW C GIBSON DDS PLLC
Active
Other names
Children's Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW C GIBSON DDS, MSD (OWNER/PEDIATRIC DENTIST)
(804) 321-6800
Entity
Organization
Contact information
Practice address
4025 MECHANICSVILLE TPKE, RICHMOND, VA 23223-1117
(804) 321-6800
Mailing address
4025 MECHANICSVILLE TPKE, RICHMOND, VA 23223-1117
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401414509
VA
Other
Enumeration date
05/31/2017
Last updated
05/31/2017
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