Individual
KIMBERLY ENLOW FULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3415 WINDMILL RD, LEESVILLE, SC 29070-7651
(803) 582-9599
Mailing address
3415 WINDMILL RD, LEESVILLE, SC 29070-7651
(803) 582-9599
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3247
SC
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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