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Individual

DR. KATHLEEN MARIE DURHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1501 E ORANGE RD, GRUNDY HALL, ROOM 152, WATERLOO, IA 50701-9014
(319) 296-1030
(319) 296-4450
Mailing address
1501 E ORANGE RD, PO BOX 8015, WATERLOO, IA 50701-9014
(319) 296-1030
(319) 296-4450

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
08379
IA

Other

Enumeration date
09/03/2008
Last updated
09/03/2008
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