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1972759546
KELLY LEE KINGMA
BETTENDORF, IA
NPI
1972759546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IA 08557)
Enumeration Date
2008-08-14
Last Update Date
2012-04-23
Business Address
Dr. KELLY LEE KINGMA D.D.S.
3024 VICTORIA ST
BETTENDORF, IA 52722-2793
Phone number: 563-332-2447
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Mailing Address
Dr. KELLY LEE KINGMA D.D.S.
2217 HARVEST CIR
CORALVILLE, IA 52241-3466
Phone number: 319-530-3626
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