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Individual

KIMBERLY ANN HOFFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
635 E BASELINE RD, PHOENIX, AZ 85042-6551
(602) 243-7277
Mailing address
15025 N 53RD ST, SCOTTSDALE, AZ 85254-2360

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H007548
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
287386
AZ
Enumeration date
06/06/2017
Last updated
12/19/2018
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