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1265207633
DANVILLE PEDS DRE LLC
DANVILLE, KY
NPI
1265207633
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Entity Type
Organization
Authorized Contact
ELIZABETH DAVIS
Director Of Revenue
859-533-1109
Organization Subpart ?
No
Primary Taxonomy
1223P0221X Dentist Pediatric Dentistry
Enumeration Date
2023-11-16
Last Update Date
2023-11-16
Business Address
DANVILLE PEDS DRE LLC
1080 BEN ALI DR STE A
DANVILLE, KY 40422-8937
Phone number: 859-236-6900
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Mailing Address
DANVILLE PEDS DRE LLC
105 SPRUCE ST
LEXINGTON, KY 40507-2109
Phone number:
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