Tiffany Kimmel

NPI #1700495074 in Rockford, Michigan

Provider Information

NPI Number: 1700495074
Entity Type: Individual
Name: Tiffany Kimmel
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jul 23, 2020
Last Updated: Jul 23, 2020

Practice Location

Address: 6085 9 MILE RD NE
City: Rockford
State: Michigan
ZIP Code: 49341-7747
Phone: (570) 847-7815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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