Individual
KELLEY DOHERTY LAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
174 STATE ROUTE 101, VILLAGE SHOPPES BEDFORD, BEDFORD, NH 03110-5417
(603) 472-5733
Mailing address
174 STATE ROUTE 101, VILLAGE SHOPPES BEDFORD, BEDFORD, NH 03110-5417
(603) 472-5733
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
02125
NH
Other
Enumeration date
04/04/2015
Last updated
04/04/2015
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