Individual
KENNETH WACHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
245 E 24TH ST, NEW YORK, NY 10010-3821
(212) 998-9954
Mailing address
245 E 24TH ST, NEW YORK, NY 10010-3821
(212) 998-9544
(203) 748-4340
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
046584
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
8871
CT
Other
Enumeration date
12/04/2006
Last updated
05/05/2022
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