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1104103548
PREMIER DENTAL
LONDON, KY
NPI
1104103548
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Entity Type
Organization
Authorized Contact
TERRI BROWN
Dentist
606-877-3002
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: KY 7672)
Enumeration Date
2011-11-14
Last Update Date
2011-11-14
Business Address
PREMIER DENTAL
39 WACO DR
LONDON, KY 40741-8327
Phone number: 606-877-3002
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Mailing Address
PREMIER DENTAL
39 WACO DR
LONDON, KY 40741-8327
Phone number: 606-877-3002
Copy
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