Individual
KIMBERLY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
18 HULBURT AVE, FAIRPORT, NY 14450-2408
(585) 789-7022
Mailing address
18 HULBURT AVE, FAIRPORT, NY 14450-2408
(585) 789-7022
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
023559-1
NY
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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