Individual
MS. TRACY A GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
975 EASTON RD, SUITE 101, WARRINGTON, PA 18976-1858
(866) 916-6447
Mailing address
630 WOOD LOT TRAIL RD, ANNAPOLIS, MD 21401-6466
(410) 224-4014
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13659
MD
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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