Individual
MRS. KIMBERLY ANN MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1911 W MAIN ST, SUITE 6, MESA, AZ 85201-6929
(480) 838-4185
Mailing address
3236 E CHANDLER BLVD, #1085, PHOENIX, AZ 85048-7207
(248) 202-8438
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6385
AZ
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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