KELLI LANETTE BASS

FORT CAMPBELL, KY
NPI1417564618
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: KY  11066)
Enumeration Date2020-09-30
Last Update Date2024-06-07
Business Address
KELLI LANETTE BASS DDS
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8400
Mailing Address
KELLI LANETTE BASS DDS
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8400