Individual provider · NPI-1

Dr. Kimberly Marion Barbour, DDS

Dentist · Mount Clemens, MI

NPI number1376113555
StatusActive
Last updated in NPPESJun 29, 2021

Details

NPI
1376113555
Entity type
Individual (NPI-1)
Name
Dr. Kimberly Marion Barbour
Credential
DDS
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 29, 2021
Certification date
Jun 29, 2021
Last updated
Jun 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist2901601061MIYes

Practice location

312 Crocker Blvd
Mount Clemens, MI 48043-2547

Phone 586-469-6336

Mailing address

58 Cranford Ln
Grosse Pointe, MI 48230-1546

Phone 313-949-6424

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