TARA LEE KIMBALL

HOLLAND, MI
NPI1154744647
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: MI  2902010638)
Enumeration Date2014-02-04
Last Update Date2014-02-04
Business Address
-- TARA LEE KIMBALL RDH
99 W 26TH ST
HOLLAND, MI 49423-4970
Phone number: 616-392-3610
Mailing Address
-- TARA LEE KIMBALL RDH
99 W 26TH ST
HOLLAND, MI 49423-4970
Phone number: 616-392-3610