GINO MICHAEL AN

FORT CAMPBELL, KY
NPI1477227353
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: KY  10679)
Enumeration Date2021-08-04
Last Update Date2021-08-04
Business Address
Dr. GINO MICHAEL AN DDS
2441 21ST ST
FORT CAMPBELL, KY 42223-5582
Phone number: 270-798-8751
Mailing Address
Dr. GINO MICHAEL AN DDS
2441 21ST ST
FORT CAMPBELL, KY 42223-5582
Phone number: 270-798-8751