Individual
KIMBERLY RENEE VINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
410 W 14TH ST, GREENVILLE, NC 27834-4074
(252) 758-8110
Mailing address
2136 FLAGSTONE CT, UNIT I6, GREENVILLE, NC 27834-8807
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10464
NC
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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