Individual
MR. DENTON LARMARR KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1 CIVIC CENTER DR, 130, SAN MARCOS, CA 92069-2918
(760) 744-2611
(760) 744-2611
Mailing address
43965 BARLETTA ST, TEMECULA, CA 92592-3947
(951) 302-9908
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT5711
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4146926
MEDICAL
CA
Enumeration date
02/09/2007
Last updated
08/12/2014
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