Individual
KRISTINE M VER WEIRE-HAISAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, BSDH, MPH (C)
Contact information
Practice address
50100 GOLSH RD, VALLEY CENTER, CA 92082-5338
(769) 803-6894
Mailing address
1835A S CENTRE CITY PKWY # 256, ESCONDIDO, CA 92025-6525
(760) 803-6894
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
16328
CA
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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