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1154589216
TRI-STATE ORAL & FACIAL SURGERY
ASHLAND, KY
NPI
1154589216
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Entity Type
Organization
Authorized Contact
MICHAEL D. COURCHO
President
606-329-1115
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
(Licence: KY 34851)
Enumeration Date
2008-05-27
Last Update Date
2008-05-27
Business Address
TRI-STATE ORAL & FACIAL SURGERY
2844 CARTER AVE
ASHLAND, KY 41101-1917
Phone number: 606-329-1115
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Mailing Address
TRI-STATE ORAL & FACIAL SURGERY
2844 CARTER AVE
ASHLAND, KY 41101-1917
Phone number: 606-329-1115
Copy
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