Ketchers' Dental Pllc | |
1829 Jefferson St Shelton WA 98584-2004 | |
(360) 426-8401 | |
(360) 426-1427 |
Full Name | Ketchers' Dental Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 1829 Jefferson St, Shelton, Washington |
Authorized Official Name and Position | Katherine J. Ketcher (MEMBER) |
Authorized Official Contact | 3604268401 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ketchers' Dental Pllc 1829 Jefferson St Shelton WA 98584-2004 Ph: (360) 426-8401 | Ketchers' Dental Pllc 1829 Jefferson St Shelton WA 98584-2004 Ph: (360) 426-8401 |
NPI Number | 1063553014 |
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Provider Enumeration Date | 02/11/2007 |
Last Update Date | 04/11/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063553014 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DE9709 (Washington) | Primary |
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