Most Relevant Information
Provider Data
| NPI Number: | 1003037672 |
| Provider Name: | KATHERINE CLENDENIN |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | 10092 |
Most Important Dates
| Enumeration Date: | 05/01/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
6729 BRIDGE ST
FT WORTH
TX
76112
Practice Location Phone/Fax
| Phone: | 8176540354 |
| Fax: |
Provider Mailing Location
6729 BRIDGE ST
FT WORTH
TX
76112
Provider Mailing Phone/Fax
| Phone: | 8176540354 |
| Fax: |