Individual
DR. LONA DEMETRIA BIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1741 NEWNAN CROSSING BLVD E, SUITE I, NEWNAN, GA 30265-1599
(770) 253-4488
(770) 253-4498
Mailing address
151 SOUTHGATE BLVD, MCDONOUGH, GA 30253-8036
(770) 871-5158
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN013160
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
730602079A
—
GA
05
—
730602079B
—
GA
05
—
730602079E
—
GA
Enumeration date
07/26/2006
Last updated
05/20/2008
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