Individual
DR. LAUREN BETH GIBBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6303 LITTLE RIVER TPKE, SUITE 205, ALEXANDRIA, VA 22312-5000
(703) 823-6616
(703) 823-2141
Mailing address
6303 LITTLE RIVER TPKE, SUITE 205, ALEXANDRIA, VA 22312-5000
(703) 823-6616
(703) 823-2141
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401414461
VA
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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