NPI 1083263933

Keandra Hudson, RDH

Practitioner Dental Hygienist Washington, DC

Practice location

Address: 4 Atlantic St SW, Washington, DC 20032-2350
Phone: (202) 540-9862
Mailing address: 21110 Eden Dr APT 319, Sterling, VA 20166-6665

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence HYG10000960 (DC)

Other Dental Hygienist providers in District of Columbia →

Registry record

NPI: 1083263933
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Sep 2019
Record last updated: 4 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.