MODERN KIDS DENTISTRY OF ELIZABETHTOWN, PLLC

ELIZABETHTOWN, KY
NPI1285299149
Entity TypeOrganization
Authorized ContactJUSTIN MICHAEL RAYBOULD
Owner/Manager
859-321-7051
Organization Subpart ?No
Primary Taxonomy1223P0221X Dentist Pediatric Dentistry
Enumeration Date2019-05-07
Last Update Date2019-05-07
Business Address
MODERN KIDS DENTISTRY OF ELIZABETHTOWN, PLLC
151 DREXLER CIR # A
ELIZABETHTOWN, KY 42701-7843
Phone number: 859-608-1579
Mailing Address
MODERN KIDS DENTISTRY OF ELIZABETHTOWN, PLLC
PO BOX 23293
LEXINGTON, KY 40523-3293
Phone number: 859-321-7051
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