Ketchers' Dental Pllc

NPI #1063553014 in Shelton, Washington

Provider Information

NPI Number: 1063553014
Entity Type: Organization
Organization Name: Ketchers' Dental Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 11, 2007
Last Updated: Apr 11, 2013

Practice Location

Address: 1829 JEFFERSON ST
City: Shelton
State: Washington
ZIP Code: 98584-2004
Phone: (360) 426-8401

Authorized Official

Name: DR. KATHERINE J. KETCHER, DMD
Title: MEMBER
Phone: (360) 426-8401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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