Individual
MS. DENISE L KIMACK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10000 WATSON RD, STE D, SAINT LOUIS, MO 63126-1854
(314) 821-3191
(314) 821-1304
Mailing address
10000 WATSON RD, STE D, SAINT LOUIS, MO 63126-1854
(314) 821-3191
(314) 821-1304
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15426
MO
Other
Enumeration date
10/21/2005
Last updated
07/08/2007
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