Individual
MRS. KATHERN MARIE TWIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
100 S MAIN ST, PIEDMONT, MO 63957-1563
(573) 223-4513
Mailing address
100 S MAIN ST, PIEDMONT, MO 63957-1563
(573) 223-4513
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2009015247
MO
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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