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NPI 1639622921

IndividualActive

Kimberlie Affonso

NPI 1639622921 · Dental Assistant · Fort Lewis, WA

Provider details

NPI number: 1639622921
Entity type: Individual
Primary specialty: Dental AssistantDental Providers
Sex: Female
Sole proprietor: No

Practice location

9119 Mil Park Ave.

Fort Lewis, WA 98433

Phone: (253) 966-9960

More WA providers

Mailing address

9119 Mil Park Ave.

Fort Lewis, WA 98433

Registry dates

Enumerated: 2016-08-03
Last updated: 2016-08-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Kimberlie Affonso — NPI 1639622921, Fort Lewis, WA | NPI Central