Gibson, Nicole Lee

Gibson, Nicole Lee is an sole proprietor health care provider with primary practice located at 1406 N Azusa Ave Unit #C, Covina CA 91722-1257. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Gibson, Nicole Lee can be contacted via phone (626) 858-9940.

Contact Information

Primary practice address
1406 N Azusa Ave Unit #C Covina CA 91722-1257
Phone: (626) 858-9940
Fax: (626) 858-9366
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 23400 California

Profile Details

NPI number 1790070712
LBN Legal business name Gibson, Nicole Lee
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2011
Last updated Jun 17th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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