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Organization
KIMBERLY M PARSON DDS PLLC
Active
Organization
KIMBERLY M PARSON DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY M PARSON DDS (OWNER)
(469) 340-4002
Entity
Organization
Contact information
Practice address
2360 W CAMP WISDOM RD STE 170, GRAND PRAIRIE, TX 75052-2218
(469) 340-4002
Mailing address
2360 W CAMP WISDOM RD STE 170, GRAND PRAIRIE, TX 75052-2218
(469) 340-4002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356571095
NPPES
TX
Enumeration date
10/15/2019
Last updated
10/15/2019
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