Individual
MS. KERI SANDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1029 HOWARD ST, STE 201, EVANSTON, IL 60202
(847) 491-0660
Mailing address
3716-89TH STREET, #201, KENOSHA, WI 53142
(262) 945-5297
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5176-16
WI
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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