Individual
DR. KIMBERLY PUGH WINBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
730 COULTER DR, NEW ALBANY, MS 38652-2807
(662) 534-4397
Mailing address
6760 AQUILA CIR W, OLIVE BRANCH, MS 38654-7824
(228) 861-4222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4209-21
MS
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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