Individual
REGINA KELLY OUTTERBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
838 PENN ST, READING, PA 19602-1108
(484) 220-2920
(610) 208-0103
Mailing address
838 PENN ST, READING, PA 19602-1108
(484) 220-2920
(610) 208-0103
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
PHDH000814
PA
Other
Enumeration date
11/09/2017
Last updated
07/21/2022
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