Individual
KIESHA DAWN WERLITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, MS
Contact information
Practice address
875 UNION AVE, MEMPHIS, TN 38103-3513
(901) 448-6468
Mailing address
875 UNION AVE, MEMPHIS, TN 38103-3513
(901) 448-6468
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
8387
TN
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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