Organization
KIMBROUGH DENTAL ASSOCIATES LLC
Active
Other names
Drs Susan Perotka DMD and Dena Michelle Easterly DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN J PEROTKA DMD (DOCTOR CO OWNER)
(417) 887-5661
Entity
Organization
Contact information
Practice address
3111 S KIMBROUGH AVE, SPRINGFIELD, MO 65807-5011
(417) 887-5661
(417) 889-6814
Mailing address
3111 S KIMBROUGH AVE, SPRINGFIELD, MO 65807-5011
(417) 887-5661
(417) 889-6814
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
MO
Other
Enumeration date
11/07/2005
Last updated
08/22/2020
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