Individual
MS. KATHY J. EKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH MHP
Contact information
Practice address
140 FENWAY, BOSTON, MA 02115-3782
(617) 892-8216
Mailing address
140 FENWAY, BOSTON, MA 02115-3782
(617) 892-8216
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7583
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7583
MA LICENSE # FOR RDH
MA
Enumeration date
06/07/2007
Last updated
07/08/2007
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