Kelley J. Moran R.D.H., C.D.H.C.

NPI 1134270671 - Dental Hygienist - 124Q00000X

NPI Details
NPI 1134270671
Gender Female
Enumeration Date 01/12/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
8752 S WIND PUDDING DR
HAZELHURST WI, 54531-9731, US
Phone (715) 277-2550
Fax
Business Location
8752 S WIND PUDDING DR
HAZELHURST WI, 54531-9731, US
Phone (715) 277-2550
Fax
Toxanomy
Taxonomy Code 124Q00000X
License State Wisconsin
License Number 5010-016
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According to our database, Mrs. Kelley J. Moran R.D.H., C.D.H.C. NPI is 1134270671, taxonomy code is 124Q00000X and license number is 5010-016, license state is located at Wisconsin. Kelley J. Moran R.D.H., C.D.H.C. physically located at 8752 S Wind Pudding Dr, Hazelhurst WI, 54531-9731. NPI Number Kelley J. Moran R.D.H., C.D.H.C. has the Individual type.

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1134270671 NPI number is provided on an as is basis without warranty of any kind. 1134270671 is maintained by the National Plan & Provider Enumeration System. The contents of Kelley J. Moran R.D.H., C.D.H.C. are for informational purposes only.