Mary Kellso, RDH

NPI #1942744461 in Chehalis, Washington

Provider Information

NPI Number: 1942744461
Entity Type: Individual
Name: Mary Kellso, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Dec 19, 2016
Last Updated: Dec 19, 2016

Practice Location

Address: 2690 NE KRESKY AVE
City: Chehalis
State: Washington
ZIP Code: 98532-2412
Phone: (360) 330-9543

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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