Individual
KATHLEEN RAQUEL PIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
730 W STASSNEY LN STE 110, AUSTIN, TX 78745-3032
(877) 880-8752
Mailing address
5406 MIDDLE FISKVILLE RD APT 329, AUSTIN, TX 78751-1418
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
22896
TX
Other
Enumeration date
07/04/2019
Last updated
07/04/2019
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