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Individual

MS. KIMBERLY J BACHMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1946 W US HIGHWAY 40, GREENCASTLE, IN 46135-8706
(765) 653-8441
(765) 653-5936
Mailing address
869 N CENTRE PKWY, ROCKVILLE, IN 47872-8035
(765) 720-6411

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010600A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1632400
UNITED CONCORDIA
IN
05
200461700
IN
Enumeration date
09/12/2006
Last updated
04/06/2015
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