KELLIE BERGENDAHL, RDH

Dental Hygienist

Active Individual
NPI: 1053563619

Practice Address

427 12TH ST
Plummer, ID 83851

Phone: (208) 686-1931

Specialties

Specialty Code Primary License
Dental Hygienist 124Q00000X Yes DH2335 (ID)

Frequently Asked Questions

NPI 1053563619 is the National Provider Identifier for KELLIE BERGENDAHL, RDH, a Dental Hygienist provider located in Plummer, ID. This NPI was enumerated on October 15, 2008.
KELLIE BERGENDAHL, RDH practices at 427 12TH ST, Plummer, ID 83851.

Quick Facts

NPI
1053563619
Type
Individual
Enumerated
Oct 15, 2008
Last Updated
Sep 23, 2019

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