KELLIE RENEE BERGENDAHL, RDH

NPI: 1053563619 · Individual · Active

Primary Specialty

Dental Hygienist

Practice Location

427 12TH ST
PLUMMER, ID 83851-4000 Map ↗
Phone: 208-686-1931
Fax: 208-686-5133

All Specialties & Licenses

  • Dental Hygienist Primary (license: DH2335, ID)

NPI Registration

Enumerated: 2008-10-15

Last CMS Update: 2019-09-23