Individual
MS. KIMBERLY M LAFOREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
205 GROVE ST, MANCELONA, MI 49659-8018
(231) 587-5068
Mailing address
205 GROVE ST, MANCELONA, MI 49659-8018
(231) 587-5068
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902011338
MI
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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