Individual
DR. KENNETH WILLIAM LAUDENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1520 LOCUST ST, SUITE 600, PHILADELPHIA, PA 19102-4403
(215) 985-4337
Mailing address
1520 LOCUST ST, SUITE 600, PHILADELPHIA, PA 19102-4403
(215) 985-4337
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS17161L
PA
Other
Enumeration date
07/23/2006
Last updated
07/08/2007
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