Individual
DR. JASON ERIC WALDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD,MS
Contact information
Practice address
6905 BURLINGTON PIKE, SUITE A, FLORENCE, KY 41042
(859) 647-0006
(859) 647-0634
Mailing address
10658 BRIDLEPATH LN, UNION, KY 41091-9519
(859) 647-0006
(859) 647-0634
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
7724
KY
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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