Individual
MRS. KATHERINE GRONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
3449 E REZANOF DR, DENTAL DEPARTMENT, KODIAK, AK 99615-6952
(907) 486-9800
Mailing address
3449 E REZANOF DR, DENTAL DEPARTMENT, KODIAK, AK 99615-6952
(907) 486-9800
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
112742
AK
124Q00000X
Dental Hygienist
112743
AK
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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