Kirk David Mckibben, D.D.S.

NPI #1629207568 in Defiance, Ohio

Provider Information

NPI Number: 1629207568
Entity Type: Individual
Name: Kirk David Mckibben, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jul 14, 2009
Last Updated: Jul 14, 2009

Practice Location

Address: 245 STADIUM DR
City: Defiance
State: Ohio
ZIP Code: 43512-4604
Phone: (419) 782-7950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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