NPI 1003977893

John Dexter Kimball, DDS

Practitioner Dentist Spokane, WA

Practice location

Address: 3151 E 29th Ave, Spokane, WA 99223-4800
Phone: (509) 535-8838
Fax: (509) 535-8854

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DE00005584 (WA)

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Registry record

NPI: 1003977893
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Dec 2006
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.