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Organization
NORTHERN PLAINS ORAL AND MAXILLOFACIAL SURGERY LLC
Active
Organization
NORTHERN PLAINS ORAL AND MAXILLOFACIAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL M KIMBLER DMD MD (OWNER)
(605) 225-9362
Entity
Organization
Contact information
Practice address
820 1ST AVE SE, SUITE 400, ABERDEEN, SD 57401-4601
(605) 225-9362
(605) 229-7317
Mailing address
820 1ST AVE SE, SUITE 400, ABERDEEN, SD 57401-4601
(605) 225-9362
(605) 229-7317
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
M862
SD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
SD4237
SD
Other
Enumeration date
12/21/2006
Last updated
03/25/2013
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