MS. Kimberly Boudreaux, RDH
NPI #1124385406 in Mount Pleasant, Wisconsin
Provider Information
- NPI Number
- 1124385406
- Entity Type
- Individual
- Name
- MS. Kimberly Boudreaux, RDH
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dental Hygienist
- Credential
- RDH
- Enumeration Date
- Apr 11, 2012
- Last Updated
- Apr 11, 2012
Practice Location
- Address
- 5559 DEERFIELD RD
- City
- Mount Pleasant
- State
- Wisconsin
- ZIP Code
- 53406-1819
- Phone
- (262) 770-1824
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Hygienist |
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