JOSEPH L KIRBO JR

VALDOSTA, GA
NPI1902299241
Entity TypeOrganization
Authorized ContactJOSEPH L KIRBO
Owner
229-247-1661
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: GA  DN008200)
Enumeration Date2015-03-11
Last Update Date2015-03-11
Business Address
JOSEPH L KIRBO JR
2722 N OAK ST
VALDOSTA, GA 31602-1770
Phone number: 229-247-1661
Mailing Address
JOSEPH L KIRBO JR
2722 N OAK ST
VALDOSTA, GA 31602-1770
Phone number: 229-247-1661