Individual
KIMBERLY MAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
8511 W ALLERTON AVE, GREENFIELD, WI 53228-2821
(414) 207-0020
Mailing address
8511 W ALLERTON AVE, GREENFIELD, WI 53228-2821
(414) 207-0020
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1002803-16
WI
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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