Organization
KETCHER & EDWARDS, PLLC
Active
Other names
Shelton Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE KETCHER DMD (OWNER/MANAGER)
(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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386734416
NPPES NPI
—
01
—
1427022326
NPPES NPI
—
Enumeration date
04/17/2013
Last updated
04/17/2013
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