Individual
KIMBERLEY DAWN LEGASPI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1115 B STREET, PLUMMER, ID 83851-0388
(208) 686-1931
Mailing address
4152 N MAGNOLIA DR, COEUR D ALENE, ID 83815-9641
(208) 686-1110
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH-0757
ID
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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