Provider Demographics
NPI:1881570109
Name:FURLOW, KATHERINA ALEXIS (DDS)
Entity type:Individual
Prefix:
First Name:KATHERINA
Middle Name:ALEXIS
Last Name:FURLOW
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 1:1243 S EUCLID ST
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92802-1903
Mailing Address - Country:US
Mailing Address - Phone:714-772-7060
Mailing Address - Fax:
Practice Address - Street 1:1400 N HARBOR BLVD STE 310
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-4143
Practice Address - Country:US
Practice Address - Phone:714-526-3655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1122171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice