Anderson, Kieresten R

Anderson, Kieresten R is an sole proprietor health care provider with primary practice located at 459 S China Lake Blvd Ste D , Ridgecrest CA 93555-4669. She recently has only one registered license in Dental Providers / Advanced Practice Dental Therapist, which is considered as her primary health care specialty. Anderson, Kieresten R can be contacted via phone (760) 428-8837.

Contact Information

Primary practice address
459 S China Lake Blvd Ste D Ridgecrest CA 93555-4669
Phone: (760) 428-8837
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Advanced Practice Dental Therapist 125K00000X 1001 California

Profile Details

NPI number 1487337937
LBN Legal business name Anderson, Kieresten R
Credentials RDHAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2023
Last updated Jun 11th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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