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1427160175
KENNETH ELMER DIDAT
NEW ALBANY, IN
NPI
1427160175
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IN 12008781)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Mr. KENNETH ELMER DIDAT DDS
3007 CHARLESTOWN XING SUITE #100
NEW ALBANY, IN 47150-9484
Phone number: 812-945-3829
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Mailing Address
Mr. KENNETH ELMER DIDAT DDS
3007 CHARLESTOWN XING SUITE #100
NEW ALBANY, IN 47150-9484
Phone number: 812-945-3829
Copy
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