Individual
DR. KENNETH C WAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
901 RUSSELL AVE, SUIT 410, GAITHERSBURG, MD 20879-3281
(301) 212-9888
Mailing address
901 RUSSELL AVE, SUIT 410, GAITHERSBURG, MD 20879-3281
(301) 212-9888
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
10428
MD
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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