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Individual

KERRI ANN HENDERSHOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2350 17TH AVE STE 205, LONGMONT, CO 80503-1738
(303) 525-5870
(720) 684-5537
Mailing address
2350 17TH AVE STE 205, LONGMONT, CO 80503-1738
(303) 525-5870
(720) 684-5537

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3012
CO

Other

Enumeration date
06/16/2022
Last updated
06/16/2022
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