Organization
DENISE KIMACK DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE L KIMACK DMD (PRESIDENT)
(314) 821-3191
Entity
Organization
Contact information
Practice address
10000 WATSON ROAD, SUITE D, ST LOUIS, MO 63126
(314) 821-3191
(314) 821-1304
Mailing address
10000 WATSON ROAD, SUITE D, ST LOUIS, MO 63126
(314) 821-3191
(314) 821-1304
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15426
MO
Other
Enumeration date
06/25/2007
Last updated
08/22/2020
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