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1104675875
BLYSTONE DENTAL PLLC
LOUISVILLE, KY
NPI
1104675875
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Entity Type
Organization
Authorized Contact
AILEY BLYSTONE
Practice Owner
270-234-7624
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2024-05-15
Last Update Date
2024-05-15
Business Address
BLYSTONE DENTAL PLLC
642 BAXTER AVE STE 110
LOUISVILLE, KY 40204-1795
Phone number: 502-208-9385
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Mailing Address
BLYSTONE DENTAL PLLC
102 KENTUCKY OAKS TRL
ELIZABETHTOWN, KY 42701-4483
Phone number: 270-234-7624
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