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KATHRYN A DARDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
838 NORDAHL RD STE 145, SAN MARCOS, CA 92069-3513
(760) 480-6700
Mailing address
365 N JEFFERSON ST, APT 2602, CHICAGO, IL 60661-1226

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019.028586
IL
1223G0001X
General Practice Dentistry
14602
MD
1223P0221X
Pediatric Dentistry
Primary
64349
CA

Other

Enumeration date
10/05/2009
Last updated
05/19/2020
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