KATHRINE WALLACE

CENTERVILLE, UT
NPI1093740250
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: UT  1082790701)
Enumeration Date2006-07-12
Last Update Date2007-07-08
Business Address
Mrs. KATHRINE WALLACE R.D.H.
281 S MAIN ST
CENTERVILLE, UT 84014-2292
Phone number: 801-292-0733
Mailing Address
Mrs. KATHRINE WALLACE R.D.H.
281 S MAIN ST
CENTERVILLE, UT 84014-2292
Phone number: 801-292-0733
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