Individual
KATHERINE D. PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, PHRDH
Contact information
Practice address
111 NORTH DEWEY, NORTH PLATTE, NE 69101-0648
(308) 696-1201
(308) 696-1204
Mailing address
P.O. BOX 648, 111 NORTH DEWEY, NORTH PLATTE, NE 69101-0648
(308) 696-1201
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2153
NE
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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