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Individual

DR. PAMELA GRIMSBO KAPPLE

Active
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Individual

DR. PAMELA GRIMSBO KAPPLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6539
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0500041
—
IA
05
—
1500041
—
IA
01
—
177287
DELTA OF IA PRIMARY
IA
01
—
224733
DELTA OF IA SATELLITE
IA
Enumeration date
10/25/2005
Last updated
04/14/2016
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