Most Relevant Information
Provider Data
| NPI Number: | 1003215989 |
| Provider Name: | KATHERINE MUDD D.M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 30-024247 |
Most Important Dates
| Enumeration Date: | 08/17/2014 |
| Last Updated: | 08/17/2014 |
Provider Practice Location
17 N HARDING RD
COLUMBUS
OH
432091583
Practice Location Phone/Fax
| Phone: | 6142390051 |
| Fax: |
Provider Mailing Location
236 LANSING ST
COLUMBUS
OH
432062659
Provider Mailing Phone/Fax
| Phone: | 5025071671 |
| Fax: |