Individual
MS. KIMBERLY JUSTINE HERRMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2574 MARCIA CT, BILOXI, MS 39531-2341
(228) 388-9545
(228) 385-1161
Mailing address
50 52ND ST, GULFPORT, MS 39507-4519
(228) 365-4488
(866) 905-4316
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2152-86DH
MS
Other
Enumeration date
06/08/2009
Last updated
06/08/2009
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