Individual
ROBIN KIMBERLEY ODETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 MARCELL DR NE, ROCKFORD, MI 49341-1300
(616) 884-5884
Mailing address
5079 GILES AVE NE, ROCKFORD, MI 49341-7941
(616) 884-5884
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902009458
MI
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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