Organization
DR SANTA M. MCKIBBINS, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANTA MARIA MCKIBBINS DDS (OWNER)
(919) 672-7587
Entity
Organization
Contact information
Practice address
1413 W NC HIGHWAY 54, DURHAM, NC 27707-5507
(919) 493-6860
Mailing address
1413 W NC HIGHWAY 54, DURHAM, NC 27707-5507
(919) 493-6860
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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