Individual
DR. KATELYN MICHELLE BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
3824 SOUTHPARK DR, TYLER, TX 75703-1713
(903) 707-6275
Mailing address
PO BOX 691, WHITEHOUSE, TX 75791-0691
(903) 241-5136
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
37083
TX
Other
Enumeration date
07/07/2017
Last updated
01/21/2025
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