Individual
MS. MARY LOUISE KELLERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H./M.S., P.H.D.H
Contact information
Practice address
38 PRATT ST., BILLERICA, MA 01821
(978) 667-3451
Mailing address
38 PRATT ST., BILLERICA, MA 01821
(978) 667-3451
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH3162
MA
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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