Individual
DR. TAMMIE JAYNE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
200 W. HOSPITAL DRIVE, WHITERIVER, AZ 85941-0860
(928) 338-3614
Mailing address
PO BOX 860, 200 W. HOPITAL DRIVE, WHITERIVER, AZ 85941-0860
(928) 338-3614
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
17022
TX
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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