Individual
DR. JOHN NORMAN KIMMICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
195 S MAIN ST, DUPO, IL 62239-1347
(618) 286-4400
(618) 286-4407
Mailing address
195 S MAIN ST, DUPO, IL 62239-1347
(618) 286-4400
(618) 286-4407
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
013590
MO
Other
Enumeration date
03/04/2008
Last updated
10/30/2012
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