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1669664553
THEODORE S KIMBALL
KINGMAN, AZ
NPI
1669664553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: AZ az4670)
Enumeration Date
2007-08-14
Last Update Date
2015-08-06
Business Address
Dr. THEODORE S KIMBALL dds
2065 AIRWAY AVE SUITE B
KINGMAN, AZ 86409-3656
Phone number: 928-718-0002
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Mailing Address
Dr. THEODORE S KIMBALL dds
2065 AIRWAY AVE SUITE B
KINGMAN, AZ 86409-3656
Phone number: 928-718-0002
Copy
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