Organization
KIMBALL & BEECHER WATERLOO PLLC
Active
Parent organization
KIMBALL AND BEECHER FAMILY DENTISTRY
Other names
Kimball and Beecher Family Dentistry PLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KIMBALL AND BEECHER FAMILY DENTISTRY
Authorized official
TRACY WOOD (EXEC. DIRECTOR)
(319) 235-6287
Entity
Organization
Contact information
Practice address
4015 HURST DRIVE, WATERLOO, IA 50701
(319) 235-6287
(319) 235-6740
Mailing address
4015 HURST DRIVE, WATERLOO, IA 50701
(319) 235-6287
(319) 235-6740
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851302178
—
IA
Enumeration date
08/11/2006
Last updated
01/18/2017
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