Individual
MS. KELLY ANN LANGSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
307 BOATNER RD, BUILDING 2751, EGLIN AFB, FL 32542-1302
(850) 883-8324
Mailing address
340 BOATNER RD. BLDG 2751, 96TH DENTAL SQUADRON, EGLIN AFB, FL 32542
(850) 883-8324
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH 10220
FL
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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