Individual
DR. KATHERINE LOGAN RUTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10 MEDICAL PARK BLVD, SUITE A, COLUMBIA, SC 29203
(803) 434-6567
(803) 434-6299
Mailing address
1321 ELLISON RD, COLUMBIA, SC 29206-4524
(803) 417-5038
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8908
SC
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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