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Individual

DR. CATHERINE ELIZABETH FILLMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6294
OK
1223P0221X
Pediatric Dentistry
Primary
DS039337
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102853725
PA
Enumeration date
07/21/2011
Last updated
06/12/2019
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