Individual
DR. KENNETH GARY PURVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1010 JEFFERSON ST, LATROBE, PA 15650-1810
(724) 530-3541
(724) 537-9771
Mailing address
1010 JEFFERSON ST, LATROBE, PA 15650-1810
(724) 530-3541
(724) 537-9771
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS018076L
PA
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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