Provider Demographics
NPI:1255745238
Name:WOEHLING, KATHARINE LAURA (DMD)
Entity type:Individual
Prefix:DR
First Name:KATHARINE
Middle Name:LAURA
Last Name:WOEHLING
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1352 SOUTH ST
Mailing Address - Street 2:#C5
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-1858
Mailing Address - Country:US
Mailing Address - Phone:267-909-9551
Mailing Address - Fax:
Practice Address - Street 1:1352 SOUTH ST
Practice Address - Street 2:#C5
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19147-1858
Practice Address - Country:US
Practice Address - Phone:267-909-9551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-17
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS040174122300000X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist