License holder summary

Kimberly A Provenzano is a Registered Dental Assistant licensed to practice in New Jersey. This licensed professional license is not current. The license was granted 03/17/2000 and expired on 12/31/2008.

New Jersey

Division of Consumer Affairs

Kimberly A Provenzano
Registered Dental Assistant
License number
22DP00361100
Date granted
03/17/2000
Date expires
12/31/2008
Class
Registered Dental Assistant
Status
Expired
licensingnj.com
ID 8454891
LAST UPDATED 2026-04-24 07:52:57 UTC

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