Kesiah Elise Pulliam, RDH

NPI #1053875039 in Elm Creek, Nebraska

Provider Information

NPI Number: 1053875039
Entity Type: Individual
Name: Kesiah Elise Pulliam, RDH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Jan 24, 2019
Last Updated: Jan 24, 2019

Practice Location

Address: 9940 N LANDING TRL
City: Elm Creek
State: Nebraska
ZIP Code: 68836-8058
Phone: (308) 440-2417

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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