Individual
JUSTIN JAMES KIRKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 GREAT OAKS BLVD STE 112, ALBANY, NY 12203-7924
(186) 826-4005
(518) 682-6402
Mailing address
200 ALBERT SABIN WAY, ML 0461, HOLMES HOSPITAL, OFFICE 2220, CINCINNATI, OH 45267
(513) 584-2586
(513) 584-1125
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
064184
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2019
Last updated
12/05/2024
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