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Individual
MS. KIMBERLY J BACHMANN
Active
Individual
MS. KIMBERLY J BACHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010600A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1632400
UNITED CONCORDIA
IN
05
—
200461700
—
IN
Enumeration date
09/12/2006
Last updated
04/06/2015
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