Kimbrell Dental Pllc | |
1 Southgate Ctr Freeburg IL 62243-1541 | |
(618) 539-5519 | |
Not Available |
Full Name | Kimbrell Dental Pllc |
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Speciality | Clinic/center - Dental |
Location | 1 Southgate Ctr, Freeburg, Illinois |
Authorized Official Name and Position | Denise Hand (OWNER) |
Authorized Official Contact | 6185395519 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kimbrell Dental Pllc 1 Southgate Ctr Freeburg IL 62243-1541 Ph: () - | Kimbrell Dental Pllc 1 Southgate Ctr Freeburg IL 62243-1541 Ph: (618) 539-5519 |
NPI Number | 1295473700 |
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Provider Enumeration Date | 05/24/2022 |
Last Update Date | 05/24/2022 |
Identifier | Type | State | Issuer |
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1295473700 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |