DR. Kathryn R. Haraldson, DDS

NPI #1114188364 in Lockport, Illinois

Provider Information

NPI Number: 1114188364
Entity Type: Individual
Name: DR. Kathryn R. Haraldson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 20, 2008
Last Updated: Jun 20, 2008

Practice Location

Address: 230 E 8TH ST
Address 2: SUITE #5
City: Lockport
State: Illinois
ZIP Code: 60441-3081
Phone: (815) 838-6102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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