KIERESTEN R ANDERSON

RIDGECREST, CA
NPI1487337937
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy125K00000X Advanced Practice Dental Therapist
(Licence: CA  1001)
Enumeration Date2023-08-10
Last Update Date2023-08-10
Business Address
Mrs. KIERESTEN R ANDERSON RDHAP
1209 DENISE AVE
RIDGECREST, CA 93555-5904
Phone number: 760-608-4102
Mailing Address
Mrs. KIERESTEN R ANDERSON RDHAP
1209 DENISE AVE
RIDGECREST, CA 93555-5904
Phone number: 760-608-4102