Kimberly Ann Brasil

NPI #1083112221 in Penngrove, California

Provider Information

NPI Number: 1083112221
Entity Type: Individual
Name: Kimberly Ann Brasil
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Enumeration Date: Jan 23, 2018
Last Updated: Jan 23, 2018

Practice Location

Address: 9663 OLD REDWOOD HWY
City: Penngrove
State: California
ZIP Code: 94951-9610
Phone: (707) 548-2789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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