Individual
DR. CHARLES LOUIS WUERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1900 MADISON AVE, COVINGTON, KY 41014-1208
(859) 581-4770
Mailing address
1900 MADISON AVE, COVINGTON, KY 41014-1208
(859) 581-4770
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4479
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4479
KY BOARD OF DENTISTRY
KY
05
—
60044799
—
KY
Enumeration date
01/11/2007
Last updated
03/07/2023
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