AMANDA ELIZABETH GRACE

DANVILLE, KY
NPI1134353576
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: KY  8778)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: KY  8778)
Enumeration Date2009-05-13
Last Update Date2016-02-08
Business Address
-- AMANDA ELIZABETH GRACE DMD
1080 BEN ALI DRIVE SUITE A
DANVILLE, KY 40422-2547
Phone number: 859-236-6900
Mailing Address
-- AMANDA ELIZABETH GRACE DMD
104 VERA CT
NICHOLASVILLE, KY 40356-2562
Phone number: 859-338-6779