Individual
DR. KENNETH REID MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1582 HWY 56, CREEDMOOR, NC 27522
(919) 528-1980
(919) 528-8610
Mailing address
PO BOX 596, CREEDMOOR, NC 27522-0596
(919) 528-8610
(919) 528-8610
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8579
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5909754
—
NC
Enumeration date
05/28/2008
Last updated
01/04/2011
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