Individual
MR. KATHERINE CARMEL KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
527 SQUIRREL CT, SANTA ROSA, CA 95401-5762
(707) 235-6229
(707) 545-0745
Mailing address
527 SQUIRREL CT, SANTA ROSA, CA 95401-5762
(707) 235-6229
(707) 545-0745
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDHAP78
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
167083
DELTA DENTAL
CA
05
—
522891
—
CA
Enumeration date
08/04/2006
Last updated
07/08/2007
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