Individual
KIMBERLY ANN GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
508 E BROADWAY AVE, MILTON FREEWATER, OR 97862-1315
(541) 938-3363
Mailing address
58086 HIGHWAY 204, WESTON, OR 97886-6156
(541) 709-3562
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H3816
OR
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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