Individual
JOHN DEXTER KIMBALL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3151 E 29TH AVE, SPOKANE, WA 99223-4800
(509) 535-8838
(509) 535-8854
Mailing address
3151 E 29TH AVE, SPOKANE, WA 99223-4800
(509) 535-8838
(509) 535-8854
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00005584
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE00005584
DENTAL LICENSE #
WA
Enumeration date
12/13/2006
Last updated
07/09/2007
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