Individual
KENNETH H GUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
120 TRADING BAY RD, KENAI, AK 99611-7761
(190) 733-5036
Mailing address
PO BOX 603, KASILOF, AK 99610-0603
(907) 953-0380
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
208806
AK
1223G0001X
General Practice Dentistry
Primary
208806
AK
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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