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Individual

DR. KATHLEEN D TWYNER COLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
16273 CYPRESS CT, GRANGER, IN 46530-4889
(563) 322-7059
(563) 328-8936
Mailing address
16273 CYPRESS CT, GRANGER, IN 46530-4889
(563) 343-7870
(574) 387-5822

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011595A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0210708
IA
Enumeration date
03/19/2007
Last updated
07/21/2022
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