DESIREE DENISE KELLY

TIGARD, OR
NPI1598778169
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  H1854)
Enumeration Date2006-08-14
Last Update Date2007-07-08
Business Address
Mrs. DESIREE DENISE KELLY RDH
7105 SW HAMPTON ST
TIGARD, OR 97223-8314
Phone number: 503-684-9274
Mailing Address
Mrs. DESIREE DENISE KELLY RDH
9705 SW 49TH AVE
PORTLAND, OR 97219-5157
Phone number: 503-245-0947