Individual
DR. MICHAEL B KIMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3865 MEXICO RD, SAINT CHARLES, MO 63303-3042
(636) 447-4630
(636) 447-4726
Mailing address
356 BROOKHAVEN DR, O FALLON, MO 63368-9630
(636) 485-5351
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2007004132
MO
Other
Enumeration date
01/09/2007
Last updated
02/03/2023
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