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Mr. Joseph Brandon Kimmel, LICENSEDDENTURIST
Denturist in Yelm, Washington
NPI 1740700145

Joseph Brandon Kimmel is a Denturist based in Lacey, WA. Joseph Brandon Kimmel practices in Yelm, WA and has the professional credentials of LICENSEDDENTURIST. The NPI Number for Joseph Brandon Kimmel is 1740700145 and holds a License No. DN60737872 (Washington).

The current practice location address for Joseph Brandon Kimmel is 806 Yelm Ave E # 7, Yelm, WA and can be reached out via phone at 360-704-9070.

Location: 806 Yelm Ave E # 7, Yelm, WA, 98503-6706
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740700145
Provider Name
Joseph Brandon Kimmel
Credential
LICENSEDDENTURIST
Provider Entity Type
Individual
Gender
Male
Address
806 Yelm Ave E # 7, Yelm, WA, 98503-6706
Phone Number
360-704-9070
Fax Number
Provider Enumeration Date
06/27/2017
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DN60737872 01 WA DENTURIST LICENSE
institution
Provider Business Practice Location Address Details
Address
806 Yelm Ave E # 7
City
Yelm
State
Washington
Zip
98597-9424
Phone Number
360-704-9070
Fax Number
person
Provider Business Mailing Address Details
Address
806 Yelm Ave E # 7
City
Yelm
State
Washington
Zip
98597-9424
Phone Number
360-704-9070
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
122400000X
License No.
DN60737872 (Washington)
Definition
Definition to come.
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