Individual
DR. RUSSELL HOY WAUGH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3145 CUSTER DRIVE, LEXINGTON, KY 40517
(859) 273-5959
(859) 271-8979
Mailing address
3145 CUSTER DRIVE, LEXINGTON, KY 40517
(859) 273-5959
(859) 271-8979
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5137
KY
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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