Organization
HOLLAND FREE HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TARA L KIMBALL RDH (DENTAL PROGRAM MANAGER)
(616) 392-3610
Entity
Organization
Contact information
Practice address
99 W 26TH ST, HOLLAND, MI 49423-4970
(616) 392-3610
(616) 392-3632
Mailing address
99 W 26TH ST, HOLLAND, MI 49423-4970
(616) 392-3610
(616) 392-3632
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902010638
MI
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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