Organization
KIMBERLY D SIMONDS DDS PC
Active
Other names
Ballwin Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY DAWN SIMONDS DDS (DENTIST OWNER)
(636) 227-2552
Entity
Organization
Contact information
Practice address
14738 MANCHESTER RD, SUITE B, BALLWIN, MO 63011-3706
(636) 227-2552
Mailing address
14738 MANCHESTER RD, SUITE B, BALLWIN, MO 63011-3706
(636) 227-2552
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
016003
MO
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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