TRI-STATE ORAL & FACIAL SURGERY

ASHLAND, KY
NPI1154589216
Entity TypeOrganization
Authorized ContactMICHAEL D. COURCHO
President
606-329-1115
Organization Subpart ?No
Primary Taxonomy208600000X Surgery
(Licence: KY  34851)
Enumeration Date2008-05-27
Last Update Date2008-05-27
Business Address
TRI-STATE ORAL & FACIAL SURGERY
2844 CARTER AVE
ASHLAND, KY 41101-1917
Phone number: 606-329-1115
Mailing Address
TRI-STATE ORAL & FACIAL SURGERY
2844 CARTER AVE
ASHLAND, KY 41101-1917
Phone number: 606-329-1115