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Individual

JUSTIN A WEDDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD, MS

Contact information

Practice address
3823 FAIRVIEW DR, OWENSBORO, KY 42303-2117
(270) 683-0275
Mailing address
3823 FAIRVIEW DR, OWENSBORO, KY 42303-2117
(270) 683-0275

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9548
KY

Other

Enumeration date
06/12/2017
Last updated
12/06/2023
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