Individual
KRISTIN HOFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3785 STATE ROUTE 17B, CALLICOON, NY 12723-5658
(845) 887-4976
Mailing address
3785 STATE ROUTE 17B, CALLICOON, NY 12723-5658
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
024027
NY
124Q00000X
Dental Hygienist
067796
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41
UNKNOWN
NY
Enumeration date
04/08/2017
Last updated
04/08/2017
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