Individual
MRS. KATHLEEN D WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COSA
Contact information
Practice address
1213 COFFEE RD STE D, MODESTO, CA 95355-4229
(209) 522-5238
(209) 522-4703
Mailing address
1213 COFFEE RD STE D, MODESTO, CA 95355-4229
(209) 522-5238
(209) 522-4703
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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