Organization
KIMBALL & BEECHER GROUP LLC
Active
Other names
Dentistry Unlimited
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY MARIE CROCK (CONTROLLER)
(319) 277-6921
Entity
Organization
Contact information
Practice address
3520 UTICA RIDGE RD, BETTENDORF, IA 52722-1620
(563) 359-9165
Mailing address
4015 HURST DR, WATERLOO, IA 50701-9035
(319) 235-6287
(319) 232-3171
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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