Individual
KIMBERLY BECK
Active
Individual
KIMBERLY BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, BS
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
18232
FL
125J00000X
Dental Therapist
006507
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006507
CT DPH LICENSE
CT
Enumeration date
07/31/2020
Last updated
07/31/2020
Update your record
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