Most Relevant Information
Provider Data
| NPI Number: | 1003066689 |
| Provider Name: | KATRINA ELIZABETH PERDUE DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 57362 |
Most Important Dates
| Enumeration Date: | 09/19/2008 |
| Last Updated: | 03/18/2009 |
Provider Practice Location
2150 MAIN ST
SUITE #1
RED BLUFF
CA
960802372
Practice Location Phone/Fax
| Phone: | 5305277951 |
| Fax: | 5305277955 |
Provider Mailing Location
PO BOX 8774
RED BLUFF
CA
960808774
Provider Mailing Phone/Fax
| Phone: | 5305277951 |
| Fax: | 5305277955 |