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1902026933
KELLIE HAVRILAK
DALLAS, TX
NPI
1902026933
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: TX 7903)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
-- KELLIE HAVRILAK
9550 FOREST LN STE 700
DALLAS, TX 75243-5905
Phone number: 214-348-5505
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Mailing Address
-- KELLIE HAVRILAK
9550 FOREST LN STE 700
DALLAS, TX 75243-5905
Phone number: 214-348-5505
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