DR. Kenneth Roy Giberson, D.D.S.

NPI #1427125954 in Fairfax, Virginia

Provider Information

NPI Number: 1427125954
Entity Type: Individual
Name: DR. Kenneth Roy Giberson, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Nov 29, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 10875 MAIN ST
Address 2: SUITE 206
City: Fairfax
State: Virginia
ZIP Code: 22030-4732
Phone: (703) 273-2040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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