Individual
KELSEY REDWANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8777 HYPOLUXO RD, LAKE WORTH, FL 33467-5317
(561) 448-4888
Mailing address
13783 DOUBLETREE TRL, WELLINGTON, FL 33414-4020
(989) 553-0055
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN29524
FL
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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