IndividualActive
Kim Bakos, RDH
NPI 1053863969 · Dental Hygienist · Elyria, OH
Provider details
- NPI number
- 1053863969
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- No
- License
- 31-014570 (OH)
Specialties & taxonomies
Dental Providers
Practice location
202 Chestnut St
Elyria, OH 44035-5325
Phone: (440) 284-1562
Approximate (ZIP-level) locationGet directions
Mailing address
202 Chestnut St
Elyria, OH 44035-5325
Registry dates
- Enumerated
- 2016-10-26
- Last updated
- 2016-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.