Individual
ALISSA LAUREN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
926 KATHERINE AVE STE 1, ASHLAND, OH 44805-3625
(419) 281-7771
Mailing address
926 KATHERINE AVE STE 1, ASHLAND, OH 44805-3625
(419) 281-7771
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-023041
OH
Other
Enumeration date
07/06/2009
Last updated
02/05/2021
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