Organization
KETCHERS' DENTAL PLLC
Active
Other names
Shelton Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE J. KETCHER DMD (MEMBER)
(360) 426-8401
Entity
Organization
Contact information
Practice address
1829 JEFFERSON ST, SHELTON, WA 98584-2004
(360) 426-8401
(360) 426-1427
Mailing address
1829 JEFFERSON ST, SHELTON, WA 98584-2004
(360) 426-8401
(360) 426-1427
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE9709
WA
Other
Enumeration date
02/11/2007
Last updated
04/11/2013
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