Individual
KIMBERLY HIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
6600 VAN AALST BLVD, MACH DENTAL CLINIC - ORAL SURGERY, FORT BENNING, GA 31905
(762) 408-3090
Mailing address
6600 VAN AALST BLVD, FORT BENNING, GA 31905
(762) 408-3090
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH009045
GA
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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