Individual
MRS. KIMBERLY CAYE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
343 WARRIOR ROAD, FT STEWART, GA 31314
(808) 754-7692
Mailing address
305 ALCOTT CIR, HINESVILLE, GA 31313-2879
(808) 754-7692
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH043427
GA
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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