Organization
ANTHONY W DURALL DMD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY W DURALL DMDD (PRESIDENT)
(270) 683-0275
Entity
Organization
Contact information
Practice address
2816 VEACH RD, SUITE 301, OWENSBORO, KY 42303
(270) 683-0275
(270) 683-5929
Mailing address
2816 VEACH RD, SUITE 301, OWENSBORO, KY 42303
(270) 683-0275
(270) 683-5929
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4863
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60048634
—
KY
Enumeration date
12/18/2006
Last updated
08/13/2013
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