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Organization

JEFFREY G. KIMBLE DDS

Active
Other names
Kimble Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY G KIMBLE DDS (OWNER)
(304) 257-1759
Entity
Organization

Contact information

Practice address
211 VIRGINIA AVE, PETERSBURG, WV 26847-1715
(304) 257-1759
Mailing address
211 VIRGINIA AVE, PETERSBURG, WV 26847-1715
(304) 257-1759

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7800023000
WV
Enumeration date
02/03/2021
Last updated
02/03/2021
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