LAMONT RAY GHOLSTON

LOUISVILLE, KY
NPI1417190562
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: KY  4585)
Enumeration Date2009-04-18
Last Update Date2009-04-18
Business Address
DR. LAMONT RAY GHOLSTON DMD
928 E BROADWAY
LOUISVILLE, KY 40204-1057
Phone number: 502-581-0015
Mailing Address
DR. LAMONT RAY GHOLSTON DMD
928 E BROADWAY
LOUISVILLE, KY 40204-1057
Phone number: 502-581-0015
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