Individual
MRS. KIMBRA GAIL MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1ST DENTAL BN/NDC, CAMP PENDLETON, CA 92055-5221
(760) 725-4950
Mailing address
P.O BOX 555221, 1ST DENTAL BN/NDC, CAMP PENDLETON, CA 92055-5221
(760) 725-4950
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
24286
CA
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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