Individual
AMANDA E KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1087 N MILITARY HWY, NORFOLK, VA 23502-0028
(757) 451-7042
Mailing address
1825 SUNRISE DR, VIRGINIA BEACH, VA 23455-3153
(757) 748-5961
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402205456
VA
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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