Kimberly Park Dental Associates

NPI 1689762494

Information of Kimberly Park Dental Associates

The NPI 1689762494 is an Organization type. NPI No 1689762494 belongs to Kimberly Park Dental Associates. Kimberly Park Dental Associates specializes in Dentist. is practising at 3512 Jersey Ridge Rd, Davenport, Iowa 52807. You can also contact him via phone number (563) 359-3494.

Practice address located

  • 3512 Jersey Ridge Rd
  • Davenport, Iowa 52807
  • (563) 359-3494
  • (563) 359-3494

Mailling address located

  • 3512 Jersey Ridge Rd
  • Davenport, Iowa 52807
  • Not available
  • Not available
NPI No 1689762494
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes122300000XDentistn/an/a
Identifier for this provider
StateIdentifierTypeIssuer
IA0007401Medicare ID-Type UnspecifiedTHUL
IA0096222OtherJOHNSON
IA0099382OtherSLIVKEN
IA709842OtherBLUE CROSS T
IA710728OtherBLUE CROSS S
IA755644OtherBLUE CROSS J
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