Kimberly Wilson RDH

NPI 1780887638 - Dental Hygienist - 124Q00000X

NPI Details
NPI 1780887638
Gender Female
Enumeration Date 06/07/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
84 NW 2ND ST
ONTARIO OR, 97914-2412, US
Phone (541) 889-0052
Fax (541) 889-0900
Business Location
84 NW 2ND ST
ONTARIO OR, 97914-2412, US
Phone (541) 889-0052
Fax (541) 889-0900
Toxanomy
Taxonomy Code 124Q00000X
License State Oregon
License Number H3337
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According to our database, Kimberly Wilson RDH NPI is 1780887638, taxonomy code is 124Q00000X and license number is H3337, license state is located at Oregon. Kimberly Wilson RDH physically located at 84 Nw 2nd St, Ontario OR, 97914-2412. NPI Number Kimberly Wilson RDH has the Individual type.

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1780887638 NPI number is provided on an as is basis without warranty of any kind. 1780887638 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Wilson RDH are for informational purposes only.