Individual
DR. KELLY PATER HEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1220 E NAPIER AVE, BENTON HARBOR, MI 49022-3900
(269) 925-2113
(269) 925-2191
Mailing address
1220 E NAPIER AVE, BENTON HARBOR, MI 49022-3900
(269) 925-2113
(269) 925-2191
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901019815
MI
Other
Enumeration date
06/05/2008
Last updated
09/14/2010
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