Individual
MS. KATHRYN PETRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4758 S SCATTERFIELD RD, ANDERSON, IN 46013-2908
(765) 642-9500
(765) 642-9910
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011174A
IN
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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