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Organization

DAVID WAUGH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID WAUGH (DENTIST)
(270) 312-1290
Entity
Organization

Contact information

Practice address
6541 LEITCHFIELD RD, CECILIA, KY 42724-9554
(270) 312-1290
Mailing address
6541 LEITCHFIELD RD, CECILIA, KY 42724-9554
(270) 312-1290

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7334
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60073343
KY
Enumeration date
06/02/2014
Last updated
06/02/2014
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