DR. Heavenly Kimes

NPI #1114074192 in Conyers, Georgia

Provider Information

NPI Number
1114074192
Entity Type
Individual
Name
DR. Heavenly Kimes
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Enumeration Date
Jan 4, 2007
Last Updated
May 15, 2008

Practice Location

Address
3240 GLENCREE ROAD
State
Georgia
ZIP Code
30012-1167
Phone
(404) 713-4982

Specialties & Taxonomy Codes

Specialty
Dentist

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