| Denise Kimack Dmd Pc | |
|
10000 Watson Road Suite D St Louis MO 63126 | |
| (314) 821-3191 | |
| (314) 821-1304 |
| Full Name | Denise Kimack Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 10000 Watson Road, St Louis, Missouri |
| Authorized Official Name and Position | Denise L Kimack (PRESIDENT) |
| Authorized Official Contact | 3148213191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Denise Kimack Dmd Pc 10000 Watson Road Suite D St Louis MO 63126 Ph: (314) 821-3191 | Denise Kimack Dmd Pc 10000 Watson Road Suite D St Louis MO 63126 Ph: (314) 821-3191 |
| NPI Number | 1548466774 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548466774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 15426 (Missouri) | Primary |
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