Organization
KIMBALL & BEECHER GROUP LLC
Active
Parent organization
KIMBALL & BEECHER GROUP LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KIMBALL & BEECHER GROUP LLC
Authorized official
SANDY MARIE CROCK RDH (CONTROLLER)
(319) 235-6287
Entity
Organization
Contact information
Practice address
106 E WASHINGTON AVE, FAIRFIELD, IA 52556-3326
(641) 472-3147
Mailing address
4015 HURST DR, WATERLOO, IA 50701-9035
(319) 235-6287
(563) 293-2495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
04/02/2025
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