Individual
KIMBERLY ANN BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5424 REILLY RD, FAYETTEVILLE, NC 28308
(910) 570-3002
Mailing address
5424 REILLY RD, FAYETTEVILLE, NC 28308
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH25459
FL
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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