Individual
DR. ANITA MAHALIA KIMBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
36000 DARNALL LOOP STE 1051, FORT HOOD, TX 76544-5095
(254) 287-3105
Mailing address
7171 REMAGEN ST, FORT HOOD, TX 76544-1785
(214) 923-2985
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18932
TX
Other
Enumeration date
08/01/2006
Last updated
06/17/2019
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