| NPI | 1316254006 |
|---|---|
| Other Name | MEGAN MARIE KIBBEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: SC 4535) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA 1855524) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2024-09-20 |