Individual
KIRK DAVID MCKIBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
245 STADIUM DR, DEFIANCE, OH 43512-4604
(419) 782-7950
(419) 782-8880
Mailing address
245 STADIUM DR, DEFIANCE, OH 43512-4604
(419) 782-7950
(419) 782-8880
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23054
OH
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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