Individual
DR. LISA KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
870 CRESTMARK DR, SUITE 100, LITHIA SPRINGS, GA 30122-2665
(678) 945-0034
(770) 892-4779
Mailing address
870 CRESTMARK DR, SUITE 100, LITHIA SPRINGS, GA 30122-2665
(678) 945-0034
(770) 892-4779
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DNO12313
GA
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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