Individual
KIMBERLY ANN MAHOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D., M.S.D.
Contact information
Practice address
2245 MONTGOMERY DR, SANTA ROSA, CA 95405-4900
(707) 575-0600
Mailing address
199 NEW MONTGOMERY ST, UNIT 902, SAN FRANCISCO, CA 94105-3802
(415) 971-7848
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
57270
CA
Other
Enumeration date
02/25/2011
Last updated
02/25/2011
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