Theodore Kimbraugh, DDS
NPI #1619054194 in Montgomery, Alabama
Provider Information
- NPI Number
- 1619054194
- Entity Type
- Individual
- Name
- Theodore Kimbraugh, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5011 BUSINESS PARK DR
- City
- Montgomery
- State
- Alabama
- ZIP Code
- 36116-2695
- Phone
- (334) 613-7795
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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