Individual
MARTHA JUSTINA KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5135 SKYLINE RD S, SALEM, OR 97306-9427
(503) 588-6560
Mailing address
515 TOWER DR NW, SALEM, OR 97304-4339
(503) 588-1780
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H2644
OR
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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