Individual
KIMBERLY BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
436 5TH AVE TED STEVENS WAY, KOTZEBUE, AK 99752
(907) 442-7325
(907) 442-7308
Mailing address
436 5TH AVE TED STEVENS WAY, KOTZEBUE, AK 99752
(907) 442-7325
(907) 442-7308
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
06-021-DHAT
ZZ
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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