KELLIE RENEE BERGENDAHL

PLUMMER, ID
NPI1053563619
Other NameKELLIE R. MCNEIL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: ID  DH2335)
Enumeration Date2008-10-15
Last Update Date2019-09-23
Business Address
KELLIE RENEE BERGENDAHL RDH
427 12TH ST
PLUMMER, ID 83851-4000
Phone number: 208-686-1931
Mailing Address
KELLIE RENEE BERGENDAHL RDH
PO BOX 994
COEUR D ALENE, ID 83816-0994
Phone number: 208-625-0353
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