Individual
KIMBERLY SOPHIA ZEEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH BS EPDH
Contact information
Practice address
244 E ELLENDALE AVE STE 4, DALLAS, OR 97338-1523
(971) 239-1624
Mailing address
17240 BECK RD, DALLAS, OR 97338-9317
(503) 931-5236
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4377
OR
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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