Provider Demographics
NPI:1447773650
Name:WRIGHT, KATHLEEN DAILEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:DAILEY
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:196 NUT TREE PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95687-3237
Mailing Address - Country:US
Mailing Address - Phone:707-455-7001
Mailing Address - Fax:
Practice Address - Street 1:196 NUT TREE PKWY STE A
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95687-3237
Practice Address - Country:US
Practice Address - Phone:707-455-7001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101593122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist