NPI 1871779389

Kirstin Marchese09

Practitioner Dental Hygienist Waterloo, IA

Practice location

Address: 905 Franklin St, Waterloo, IA 50703-4407
Phone: (319) 272-4300

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 02684 (IA)

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Registry record

NPI: 1871779389
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jan 2008
Record last updated: 15 Jan 2008

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.