Individual
MRS. KIMBERLY ANN PERLOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EPDH, RDH
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
H7180
OR
125J00000X
Dental Therapist
Primary
DT0010
OR
Other
Enumeration date
09/24/2019
Last updated
08/18/2023
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