BLUEGRASS PEDS DRE LLC

RICHMOND, KY
NPI1467227835
Entity TypeOrganization
Authorized ContactELIZABETH DAVIS
Director Of Revenue
859-533-1109
Organization Subpart ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
Enumeration Date2023-11-16
Last Update Date2023-11-16
Business Address
BLUEGRASS PEDS DRE LLC
120 MERIDIAN WAY STE 2
RICHMOND, KY 40475-2881
Phone number: 859-626-1810
Mailing Address
BLUEGRASS PEDS DRE LLC
105 SPRUCE ST
LEXINGTON, KY 40507-2109
Phone number:
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