Individual
DR. JOHN PHILIP WAHLE III
Active
Individual
DR. JOHN PHILIP WAHLE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6476
KY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6476
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60064763
—
KY
Enumeration date
02/26/2007
Last updated
01/20/2015
Update your record
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