Individual
DR. MATTHEW KYBAO DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2566 LAWRENCEVILLE SUWANEE RD, SUWANEE, GA 30024-2537
(678) 714-2380
Mailing address
675 RAIN WILLOW LN, JOHNS CREEK, GA 30097-7148
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN122817
GA
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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