Kelly B Huerra

NPI #1518168970 in Gonzales, Texas

Provider Information

NPI Number: 1518168970
Entity Type: Individual
Name: Kelly B Huerra
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Enumeration Date: May 31, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 228 SAINT GEORGE ST
City: Gonzales
State: Texas
ZIP Code: 78629-3910
Phone: (830) 672-6511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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