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Individual

DR. KIM DAVID KISSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
255 BIERMAN RD, EPWORTH, IA 52045-9529
(563) 876-3396
(563) 876-3645
Mailing address
255 BIERMAN RD, PO BOX 285, EPWORTH, IA 52045-9529
(563) 876-3396
(563) 876-3645

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06878
IA

Other

Enumeration date
02/26/2007
Last updated
06/18/2014
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