DR. Gary Phillip Walden, D.M.D.
NPI #1316207566 in Smiths Grove, Kentucky
Provider Information
- NPI Number
- 1316207566
- Entity Type
- Individual
- Name
- DR. Gary Phillip Walden, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- May 22, 2012
- Last Updated
- Apr 13, 2016
Practice Location
- Address
- 148 VINCENT STREET
- City
- Smiths Grove
- State
- Kentucky
- ZIP Code
- 42171
- Phone
- (270) 563-4819
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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