BLUEGRASS FAMILY DENTISTRY, PLLC

BEAVER DAM, KY
NPI1093241796
Entity TypeOrganization
Authorized ContactKELSEY DIANE JOHNSON
Owner/Member
270-256-3967
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: KY  9595)
Enumeration Date2017-05-02
Last Update Date2017-05-02
Business Address
BLUEGRASS FAMILY DENTISTRY, PLLC
1317 N MAIN ST
BEAVER DAM, KY 42320-8957
Phone number: 270-775-6063
Mailing Address
BLUEGRASS FAMILY DENTISTRY, PLLC
PO BOX 535
BEAVER DAM, KY 42320-0535
Phone number: 270-775-6063
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