Individual
MS. KERI LYNN BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4TH AND INNER LOOP ROAD, BLDG 171, FORT IRWIN, CA 92310
(719) 526-5537
(719) 524-2843
Mailing address
1631 WETZEL AVE, BLDG 815, FORT CARSON, CO 80913-4095
(719) 526-5537
(719) 524-2843
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
14055
TX
124Q00000X
Dental Hygienist
4457
LA
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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