Individual
KIMBERLY GALE INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9533 SOUTHWEST FWY, HOUSTON, TX 77074-1409
(713) 774-7774
Mailing address
2306 ROSEDALE ST, HOUSTON, TX 77004-6074
(281) 748-7576
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18928
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007652311
—
TX
Enumeration date
10/31/2006
Last updated
09/24/2013
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