Individual
PENNI ELAYNE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2944 6TH ST SW, LOVELAND, CO 80537-6024
(970) 646-1705
Mailing address
2944 6TH ST SW, LOVELAND, CO 80537-6024
(970) 646-1705
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
904702
CO
Other
Enumeration date
11/15/2025
Last updated
11/15/2025
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