Individual
KENNETH DAVID NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1201 MISSION PARK DR, VICKSBURG, MS 39180-3747
(601) 634-1812
(601) 630-9559
Mailing address
1201 MISSION PARK DR, VICKSBURG, MS 39180-3747
(601) 634-1812
(601) 630-9559
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2354
MS
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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