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Kimberly Sharrell Coore, RDH

Dental Hygienist in Fpo, ZZ. Individual provider (NPI-1).

NPI number1720171069
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1720171069
Entity type
Individual (NPI-1)
Name
Mrs. Kimberly Sharrell Coore
Credential
RDH
Sex
Female
Sole proprietor
No
Enumeration date
Oct 1, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
124Q00000X Dental Hygienist7481NCYes

Practice location

Uss Nassau Lha 4
Fpo, ZZ

Phone 757-434-4864

Mailing address

539 Deer Neck Dr
Chesapeake, VA 23323-7101

Phone 757-753-2444

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