Organization
KIM LITTLEFIELD DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIM LITTLEFIELD (OWNER)
(618) 236-9700
Entity
Organization
Contact information
Practice address
16 EMERALD TER, SWANSEA, IL 62226-2321
(618) 236-9700
Mailing address
16 EMERALD TER, SWANSEA, IL 62226-2321
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021-001643
IL
Other
Enumeration date
06/24/2013
Last updated
06/24/2013
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