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Organization
WALTER N. PEAVLER, DMD, PLLC
Active
Organization
WALTER N. PEAVLER, DMD, PLLC
Active
Other names
Central KY Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER PEAVLER (OWNER)
(502) 682-4807
Entity
Organization
Contact information
Practice address
198 REDWING DR, WINCHESTER, KY 40391-1674
(859) 744-0320
Mailing address
198 REDWING DR, WINCHESTER, KY 40391-1674
(859) 744-0320
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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