Individual
DR. ROMAN M CIBIRKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
541 BROOKWOOD DR W, DAWSONVILLE, GA 30534-7563
(706) 564-8174
(706) 721-6778
Mailing address
541 BROOKWOOD DR W, DAWSONVILLE, GA 30534-7563
(706) 564-8174
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN011807
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000812534A
—
GA
05
—
ZG1807
—
SC
Enumeration date
05/20/2006
Last updated
01/13/2025
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