Individual
KELSI MARIE HARTWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
HIGHWAY 491 NORTH, YUCCA STREET, SHIPROCK, NM 87420
(505) 368-6358
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6358
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH3681
NM
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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