Individual
KIMBERLY W. TOLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
543 HIGHWAY 80 W # C, CLINTON, MS 39056-4193
(601) 924-8833
Mailing address
543 HIGHWAY 80 W # C, CLINTON, MS 39056-4193
(601) 924-8833
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3071-98
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660400
—
MS
Enumeration date
04/03/2007
Last updated
07/08/2007
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