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Individual

DR. KATIE SERRANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
2166 MADISON AVE, GRANITE CITY, IL 62040-4700
(618) 877-4488
(618) 877-4487
Mailing address
2166 MADISON AVE, GRANITE CITY, IL 62040-4700
(618) 877-4488
(618) 877-4487

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019030837
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2015020291
DENTAL LICENSE
MO
Enumeration date
06/25/2015
Last updated
05/05/2025
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