Organization
STEVEN D. KIMBROUGH DMD P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN DALE KIMBROUGH D.M.D. (DENTIST)
(479) 271-2299
Entity
Organization
Contact information
Practice address
1510 SE 14TH ST., BENTONVILLE, AR 72712
(479) 271-2299
Mailing address
1510 SE 14TH STREET, BENTONVILLE, AR 72712
(479) 271-2299
(479) 271-6419
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2953
AR
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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