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1316207566
GARY PHILLIP WALDEN
SMITHS GROVE, KY
NPI
1316207566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: KY 9168)
Enumeration Date
2012-05-22
Last Update Date
2016-04-13
Business Address
Dr. GARY PHILLIP WALDEN D.M.D.
148 VINCENT STREET
SMITHS GROVE, KY 42171
Phone number: 270-563-4819
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Mailing Address
Dr. GARY PHILLIP WALDEN D.M.D.
PO BOX 370
SMITHS GROVE, KY 42171-0370
Phone number: 270-563-4819
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