Individual
MS. KYLEEN RENEE KENTISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
103 VAN DEENE AVE, WEST SPRINGFIELD, MA 01089-3238
(413) 733-3019
Mailing address
58 EVERETT ST, SPRINGFIELD, MA 01104-3426
(413) 363-3589
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH9022
MA
Other
Enumeration date
01/01/2024
Last updated
01/01/2024
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