Individual
THOMAS KIMBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1509 AVENUE G, COUNCIL BLUFFS, IA 51501-2516
(712) 325-1544
Mailing address
20 S 41ST ST APT 141, COUNCIL BLUFFS, IA 51501-3372
(330) 328-2885
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS-09388
IA
Other
Enumeration date
05/18/2017
Last updated
05/18/2017
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