Individual
DR. BROCK R WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
330 W SEMINARY ST, OWENTON, KY 40359-1533
(502) 484-0091
(502) 484-0091
Mailing address
330 W SEMINARY ST, OWENTON, KY 40359-1533
(502) 484-0091
(502) 484-0091
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7842
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60001690
—
KY
Enumeration date
05/24/2005
Last updated
07/09/2007
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