MALCOLM BAKER MIRACLE

FLORENCE, KY
NPI1124184056
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KY  6261)
Enumeration Date2006-12-28
Last Update Date2020-05-04
Business Address
Dr. MALCOLM BAKER MIRACLE D.M.D.
7607 DIXIE HWY
FLORENCE, KY 41042-2644
Phone number: 859-655-6100
Mailing Address
Dr. MALCOLM BAKER MIRACLE D.M.D.
1401 MADISON AVE
COVINGTON, KY 41011-3313
Phone number: 859-655-6100
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