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Individual

KIM LOUISE TAYLOR-FIELDS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
1141 BEACH DR E, RETSIL, WA 98378
(360) 895-4700
(360) 895-4453
Mailing address
7435 VANDERBILT LN NE, BREMERTON, WA 98311-9444
(360) 731-6964

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00006611
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5902010
WA
Enumeration date
12/09/2005
Last updated
07/08/2007
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