Individual
KIMBERLY CLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3744 LAVISTA RD, DECATUR, GA 30033-1045
(404) 634-2205
Mailing address
2216 BROOKHAVEN VW NE, BROOKHAVEN, GA 30319-3196
(404) 574-8893
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN123491
GA
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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