DR. Kelly Pater Hearn, DDS

NPI #1811156748 in Benton Harbor, Michigan

Provider Information

NPI Number: 1811156748
Entity Type: Individual
Name: DR. Kelly Pater Hearn, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 5, 2008
Last Updated: Sep 14, 2010

Practice Location

Address: 1220 E NAPIER AVE
City: Benton Harbor
State: Michigan
ZIP Code: 49022-3900
Phone: (269) 925-2113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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