Individual
KIMBERLY MICHELLE MORENO FLORES-WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
244 DIVISION ST, PARK FALLS, WI 54552-1256
(715) 762-2188
Mailing address
244 DIVISION ST, PARK FALLS, WI 54552-1256
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6000042
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2022
Last updated
07/12/2022
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