Ketchers' Dental Pllc

NPI 1063553014 - Dentist - 1223G0001X

NPI Details
NPI 1063553014
Enumeration Date 02/11/2007
Last Updated 04/11/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KATHERINE J. KATHERINE
Position MEMBER
Phone (360) 426-8401
Fax (360) 426-1427
Practice Location
1829 JEFFERSON ST
SHELTON WA, 98584-2004, US
Phone (360) 426-8401
Fax (360) 426-1427
Business Location
1829 JEFFERSON ST
SHELTON WA, 98584-2004, US
Phone (360) 426-8401
Fax (360) 426-1427
Toxanomy
Taxonomy Code 1223G0001X
License State Washington
License Number DE9709
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According to our database, Ketchers' Dental Pllc NPI is 1063553014, taxonomy code is 1223G0001X and license number is DE9709, license state is located at Washington. Ketchers' Dental Pllc physically located at 1829 Jefferson St, Shelton WA, 98584-2004. NPI Number 1033115704 has the healthcare provider type.

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1063553014 NPI number is provided on an as is basis without warranty of any kind. 1063553014 is maintained by the National Plan & Provider Enumeration System. The contents of Ketchers' Dental Pllc are for informational purposes only.