Organization
ASSOCIATES IN DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH WAYNE LOSE DMD (PARTNER)
(606) 376-5055
Entity
Organization
Contact information
Practice address
54 MEDICAL LANE, WHITLEY CITY, KY 42653
(606) 376-5055
Mailing address
PO BOX 608, WHITLEY CITY, KY 42653-0608
(606) 376-5055
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5243
KY
Other
Enumeration date
11/20/2006
Last updated
10/15/2014
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