Individual
DR. PETER T KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
30190 TOWN CENTER DRIVE, SUITE A, LAGUNA NIGUEL, CA 92677
(949) 363-3350
(949) 363-3351
Mailing address
30131 TOWN CENTER DR, SUITE 196, LAGUNA NIGUEL, CA 92677-2034
(949) 363-3350
(949) 363-3351
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
40084
CA
Other
Enumeration date
01/28/2008
Last updated
11/20/2014
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