IndividualActive
Kathrine Wallace, R.D.H.
NPI 1093740250 · Dental Hygienist · Centerville, UT
Provider details
- NPI number
- 1093740250
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- R.D.H.
- Sex
- Female
- Sole proprietor
- No
- License
- 1082790701 (UT)
Specialties & taxonomies
Dental Providers
Practice location
281 S Main St
Centerville, UT 84014-2292
Phone: (801) 292-0733
Fax: (801) 298-5336
Approximate (ZIP-level) locationGet directions
Mailing address
281 S Main St
Centerville, UT 84014-2292
Registry dates
- Enumerated
- 2006-07-12
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.