Individual
MRS. KERRI HOLEN WILLERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
8400 OSUNA RD NE STE 1A, ALBUQUERQUE, NM 87111-2068
(505) 275-0500
Mailing address
8813 AVENALES AVE NE, ALBUQUERQUE, NM 87111-2314
(303) 596-1093
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH5192
NM
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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