Individual
DR. RODERICK NOEL ABANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
2301 MEADOW DR, LOUISVILLE, KY 40218-1338
(502) 451-8900
(502) 454-9494
Mailing address
2827 WHITEWAY AVE, LOUISVILLE, KY 40205-2927
(502) 451-0078
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7297
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60072972
—
KY
Enumeration date
10/31/2005
Last updated
07/08/2007
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