Kimberly Dental Associates Llp | |
203 W Kimberly Ave Kimberly WI 54136 | |
(920) 788-1263 | |
(920) 788-0333 |
Full Name | Kimberly Dental Associates Llp |
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Speciality | Dentist - General Practice |
Location | 203 W Kimberly Ave, Kimberly, Wisconsin |
Authorized Official Name and Position | Edward Theodore Bekx (PARTNER) |
Authorized Official Contact | 9207881263 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kimberly Dental Associates Llp Po Box 100 Kimberly WI 54136 Ph: (920) 788-1263 | Kimberly Dental Associates Llp 203 W Kimberly Ave Kimberly WI 54136 Ph: (920) 788-1263 |
NPI Number | 1790798056 |
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Provider Enumeration Date | 08/15/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1790798056 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 3151 (Wisconsin) | Primary |
1223G0001X | Dentist - General Practice | 4541 (Wisconsin) | Secondary |