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1285910406
BELLEFONTE FAMILY DENTAL CARE, PSC
RUSSELL, KY
NPI
1285910406
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Entity Type
Organization
Authorized Contact
LISA RENEE DEAN
Owner
606-836-9962
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: KY 6890)
Enumeration Date
2011-11-02
Last Update Date
2011-11-02
Business Address
BELLEFONTE FAMILY DENTAL CARE, PSC
1592 DIEDERICH BLVD
RUSSELL, KY 41169-1676
Phone number: 606-836-9962
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Mailing Address
BELLEFONTE FAMILY DENTAL CARE, PSC
1592 DIEDERICH BLVD
RUSSELL, KY 41169-1676
Phone number: 606-836-9962
Copy
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