Individual
MR. JOSEPH BRANDON KIMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED DENTURIST
Contact information
Practice address
806 YELM AVE E # 7, YELM, WA 98597-9424
(360) 704-9070
Mailing address
7327 5TH AVE SE, LACEY, WA 98503-6706
(360) 704-9070
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN60737872
WA
122400000X
Denturist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN60737872
DENTURIST LICENSE
WA
Enumeration date
06/27/2017
Last updated
03/14/2024
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