Individual
DR. WASAN AMORNSANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
401 E CHESTNUT ST, SUITE 550, LOUISVILLE, KY 40202-5700
(502) 852-5401
Mailing address
501 S PRESTON ST, RM.102B, LOUISVILLE, KY 40202-1701
(502) 767-7550
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
9728
KY
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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