| Gibberman Dental | |
|
4613 Duke St Alexandria VA 22304-2594 | |
| (703) 823-6616 | |
| (703) 823-2141 |
| Full Name | Gibberman Dental |
|---|---|
| Speciality | Dentist |
| Location | 4613 Duke St, Alexandria, Virginia |
| Authorized Official Name and Position | Paul Gibberman (OWNER/DENTIST) |
| Authorized Official Contact | 7038236616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gibberman Dental 4613 Duke St Alexandria VA 22304-2594 Ph: (703) 823-6616 | Gibberman Dental 4613 Duke St Alexandria VA 22304-2594 Ph: (703) 823-6616 |
| NPI Number | 1336332832 |
|---|---|
| Provider Enumeration Date | 08/20/2007 |
| Last Update Date | 08/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336332832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401005538 (Virginia) | Primary |
| 122300000X | Dentist | 0401411023 (Virginia) | Secondary |
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