Provider Demographics
NPI:1902395403
Name:LAGUERRE, KARESE (RDH)
Entity Type:Individual
Prefix:
First Name:KARESE
Middle Name:
Last Name:LAGUERRE
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5677 STRAWBERRY LAKES CIR
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-6516
Mailing Address - Country:US
Mailing Address - Phone:732-277-2259
Mailing Address - Fax:
Practice Address - Street 1:5677 STRAWBERRY LAKES CIR
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33463-6516
Practice Address - Country:US
Practice Address - Phone:732-401-5370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-09
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22HI01034900124Q00000X
FL28117124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist