Individual
DR. KATHERINE HARLAN BOLDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4105 HOSPITAL RD, PASCAGOULA, MS 39581-5312
(228) 762-1889
Mailing address
4105 HOSPITAL RD, PASCAGOULA, MS 39581-5312
(228) 762-1889
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
11915
TN
1223G0001X
General Practice Dentistry
Primary
4277-22
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
TN
Other
Enumeration date
02/24/2022
Last updated
06/13/2022
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