Kimball, Tara Lee

Kimball, Tara Lee is an individual health care provider with primary practice located at 99 W 26Th St , Holland MI 49423-4970. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Kimball, Tara Lee can be contacted via phone (616) 392-3610.

Contact Information

Primary practice address
99 W 26Th St Holland MI 49423-4970
Phone: (616) 392-3610
Fax: (616) 392-3632
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 2902010638 Michigan

Profile Details

NPI number 1154744647
LBN Legal business name Kimball, Tara Lee
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2014
Last updated Feb 4th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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