Individual
DR. KYLE WINSTON TUBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1763 CLIFF GOOKIN BLVD, TUPELO, MS 38801-6723
(662) 842-2802
Mailing address
1365 JOYNER AVE, TUPELO, MS 38804-1844
(662) 315-9686
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4066-19
MS
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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