Individual
KATHERINE POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3571 N 1ST ST, SAN JOSE, CA 95134-1803
(408) 424-2200
Mailing address
1104 LOVELOCK WAY, HAYWARD, CA 94544-5760
(707) 391-3253
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
30815
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30815
—
CA
Enumeration date
06/20/2018
Last updated
06/20/2018
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