Individual
KRISTIN LEE SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
575 S 70TH ST, SPRINGFIELD, OR 97478-7452
(541) 556-6824
Mailing address
575 S 70TH ST, SPRINGFIELD, OR 97478-7452
(541) 556-6824
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H2670
OR
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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