Individual
DR. KENNETH R. HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
911 WALL ST, SUITE A, VALPARAISO, IN 46383-2549
(219) 462-3537
(219) 462-0366
Mailing address
911 WALL ST, SUITE A, VALPARAISO, IN 46383-2549
(219) 462-3537
(219) 462-0366
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7246
IN
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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