DR. Leland Blane Kimball, DDS
NPI #1417039967 in Fort Leonard Wood, Missouri
Provider Information
- NPI Number
- 1417039967
- Entity Type
- Individual
- Name
- DR. Leland Blane Kimball, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Endodontics
- Credential
- DDS
- Enumeration Date
- Oct 20, 2006
- Last Updated
- Jun 29, 2010
Practice Location
- Address
- 1724 NEBRASKA AVE
- Address 2
- USA DENTAC
- State
- Missouri
- ZIP Code
- 65473
- Phone
- (573) 596-0388
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
| Dentist - General Practice — General Practice |
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