Individual
MISS AMANDA KATHERIN WALDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
725 A KENTON STREET, BOWLING GREEN, KY 42101
(270) 782-0414
Mailing address
3312 EDNA CT, LEXINGTON, KY 40515-1067
(270) 791-2236
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9925
KY
Other
Enumeration date
06/01/2017
Last updated
07/21/2022
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