NPI 1013469568

Kimberly M Laforest, RDH

Practitioner Dental Hygienist Mancelona, MI

Practice location

Address: 205 Grove St, Mancelona, MI 49659-8018
Phone: (231) 587-5068

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 2902011338 (MI)

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Registry record

NPI: 1013469568
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Nov 2016
Record last updated: 1 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.