Tara Lee Kimball, RDH

NPI #1154744647 in Holland, Michigan

Provider Information

NPI Number: 1154744647
Entity Type: Individual
Name: Tara Lee Kimball, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Feb 4, 2014
Last Updated: Feb 4, 2014

Practice Location

Address: 99 W 26TH ST
City: Holland
State: Michigan
ZIP Code: 49423-4970
Phone: (616) 392-3610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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