Individual
DR. KATRINA ANNE THATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3610 BOULEVARD STE A, COLONIAL HEIGHTS, VA 23834-1329
(804) 526-0937
Mailing address
2244 MILLCREST TER, MIDLOTHIAN, VA 23112-4397
(704) 315-7859
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401416005
VA
122300000X
Dentist
0442000296
VA
Other
Enumeration date
07/05/2017
Last updated
03/08/2022
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