Individual
DR. KELSEY LYNN DAGENHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
907 CHESTER PIKE, SHARON HILL, PA 19079-1411
(610) 586-3500
Mailing address
2364 E NORRIS ST, PHILADELPHIA, PA 19125-1929
(715) 304-7000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
042602
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2018
Last updated
09/07/2023
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