Individual
MS. KIMBERLY CORPUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
424 DECATUR ST SE, ATLANTA, GA 30312-1848
(404) 843-8600
Mailing address
33 11TH ST NE UNIT 1105, ATLANTA, GA 30309-4649
(727) 735-1070
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH010304
GA
124Q00000X
Dental Hygienist
DH17953
FL
Other
Enumeration date
09/01/2016
Last updated
04/02/2022
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