Dr. Kathleen Good Ederle, DDS
Dentist in Little Rock, AR. Individual provider (NPI-1).
NPI number1174875249
StatusActive
Last updated in NPPESOct 12, 2012
Details
- NPI
- 1174875249
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kathleen Good Ederle
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 12, 2012
- Last updated
- Oct 12, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 2739 | AR | Yes |
Practice location
413 N. University Ave.Little Rock, AR 72205
Phone 501-664-6040 · Fax 501-537-0479
Mailing address
413 N. University Ave.Little Rock, AR 72205
Phone 501-664-6040 · Fax 501-537-0479
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