Individual
KENNETH REMY YUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2784 PRINCE WILLIAM PKWY, WOODBRIDGE, VA 22192-4135
(571) 257-3331
Mailing address
2784 PRINCE WILLIAM PKWY, WOODBRIDGE, VA 22192-4135
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0401417919
VA
1223E0200X
Endodontics
18921
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18921
MARYLAND BOARD OF DENTAL EXAMINERS
MD
Enumeration date
02/15/2017
Last updated
09/16/2025
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