MRS. Kathrine Wallace, R.D.H.

NPI #1093740250 in Centerville, Utah

Provider Information

NPI Number: 1093740250
Entity Type: Individual
Name: MRS. Kathrine Wallace, R.D.H.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: R.D.H.
Enumeration Date: Jul 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 281 S MAIN ST
City: Centerville
State: Utah
ZIP Code: 84014-2292
Phone: (801) 292-0733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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