Individual
KIMBERLY RENATE HAWRYLYSHYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
22 S GREENE ST RM NGE08, BALTIMORE, MD 21201-1544
(410) 328-5566
Mailing address
22 S GREENE ST RM NGE08, BALTIMORE, MD 21201-1544
(410) 328-5566
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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