NPI | 1386218824 |
---|---|
Doing Business As | KIMBROUGH DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | HEATHER WILSON Owner Dentist 417-234-2930 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-05-19 |
Last Update Date | 2021-05-19 |