Organization
AMY M KIMES, DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY M KIMES DDS (PRESIDENT)
(919) 658-9511
Entity
Organization
Contact information
Practice address
236 SMITH CHAPEL RD, MOUNT OLIVE, NC 28365-1917
(919) 658-9511
Mailing address
236 SMITH CHAPEL RD, MOUNT OLIVE, NC 28365-1917
(919) 658-9511
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7476
NC
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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