Individual
MALENA KIMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2014 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4229
(970) 665-6385
Mailing address
2206 LYN ST, GRAND JUNCTION, CO 81505-9717
(702) 343-5470
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH.002024317
CO
Other
Enumeration date
11/04/2016
Last updated
01/11/2017
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