# KENNETH WACH DMD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962216556
- **Authorized official:** KENNETH WACH DMD (OWNER / DENTIST)
- **Authorized official phone:** (812) 944-9588

## Contact information

- **Practice address:** 1801 STATE ST, NEW ALBANY, IN 47150-4917
- **Practice address phone:** (812) 944-9588
- **Mailing address:** 1801 STATE ST, NEW ALBANY, IN 47150-4917
- **Mailing address phone:** (812) 944-9588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 02/04/2025
- **Last updated:** 02/04/2025