Individual
DR. KENNETH EUGENE WACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1801 STATE ST, NEW ALBANY, IN 47150-4917
(812) 944-9588
(812) 944-0836
Mailing address
1801 STATE ST, NEW ALBANY, IN 47150-4917
(812) 944-9588
(812) 944-0836
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011804A
IN
1223G0001X
General Practice Dentistry
8812
KY
Other
Enumeration date
08/14/2009
Last updated
07/14/2021
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