| Joseph L Kirbo Jr | |
|
2722 N Oak St Valdosta GA 31602-1770 | |
| (229) 247-1661 | |
| (229) 247-8051 |
| Full Name | Joseph L Kirbo Jr |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2722 N Oak St, Valdosta, Georgia |
| Authorized Official Name and Position | Joseph L Kirbo (OWNER) |
| Authorized Official Contact | 2292471661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph L Kirbo Jr 2722 N Oak St Valdosta GA 31602-1770 Ph: (229) 247-1661 | Joseph L Kirbo Jr 2722 N Oak St Valdosta GA 31602-1770 Ph: (229) 247-1661 |
| NPI Number | 1902299241 |
|---|---|
| Provider Enumeration Date | 03/11/2015 |
| Last Update Date | 03/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902299241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN008200 (Georgia) | Primary |
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