# KETCHER & EDWARDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shelton Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134563471
- **Authorized official:** DR. KATHERINE KETCHER DMD (OWNER/MANAGER)
- **Authorized official phone:** (360) 426-8401

## Contact information

- **Practice address:** 1829 JEFFERSON ST, SHELTON, WA 98584-2004
- **Practice address phone:** (360) 426-8401
- **Practice address fax:** (360) 426-1427
- **Mailing address:** 1829 JEFFERSON ST, SHELTON, WA 98584-2004
- **Mailing address phone:** (360) 426-8401
- **Mailing address fax:** (360) 426-1427

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE9709 | WA | Yes |

## Other

- **Enumeration date:** 04/17/2013
- **Last updated:** 04/17/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1386734416 | NPPES NPI | — |
| 01 | — | 1427022326 | NPPES NPI | — |