Individual
DR. KIMBERLY DO DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
101 E 1ST ST, SYLACAUGA, AL 35150-2543
(256) 245-5635
Mailing address
101 E 1ST ST, SYLACAUGA, AL 35150-2543
(205) 240-1269
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE60755132
WA
1223G0001X
General Practice Dentistry
Primary
6590-C1
AL
Other
Enumeration date
07/12/2017
Last updated
05/14/2019
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