Individual
MR. GARY S AUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
107 N MAIN ST, HENDERSON, KY 42420
(270) 826-9438
Mailing address
107 N MAIN ST, HENDERSON, KY 42420
(270) 826-9438
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6150
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60061504
—
KY
Enumeration date
12/04/2006
Last updated
07/08/2007
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