Individual
JENNIFER GIBBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
417 13TH AVE EAST, POPLAR, MT 59255
(406) 768-3584
Mailing address
122 W SAND CREEK RD, VIDA, MT 59274-8800
(406) 850-2865
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DEN-RDH-LIC-9631
MT
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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