Individual
DR. KATHRYN GRACE LUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4160 HERITAGE TRACE PKWY, #408, FORT WORTH, TX 76244-5312
(817) 741-4288
(817) 741-2088
Mailing address
3705 DARTMOUTH ST, GARLAND, TX 75043-2211
(972) 345-3657
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24569
TX
Other
Enumeration date
06/01/2009
Last updated
05/30/2014
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