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1104196989
KIDS DENTISTRY-LAGRANGE, PLLC
LA GRANGE, KY
NPI
1104196989
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Entity Type
Organization
Authorized Contact
SETPHEN JAMES
CFO
502-254-8504
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2012-01-10
Last Update Date
2012-01-20
Business Address
KIDS DENTISTRY-LAGRANGE, PLLC
2005 S HIGHWAY 53 SUITE D
LA GRANGE, KY 40031-9109
Phone number: 502-225-6820
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Mailing Address
KIDS DENTISTRY-LAGRANGE, PLLC
PO BOX 437169
LOUISVILLE, KY 40253-7169
Phone number:
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