LAURA ALINE GOSSOM

BARDSTOWN, KY
NPI1609259258
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: KY  2979)
Enumeration Date2015-07-01
Last Update Date2015-07-01
Business Address
-- LAURA ALINE GOSSOM RDH
5405 BLOOMFIELD RD
BARDSTOWN, KY 40004-9195
Phone number: 270-282-5197
Mailing Address
-- LAURA ALINE GOSSOM RDH
5405 BLOOMFIELD RD
BARDSTOWN, KY 40004-9195
Phone number: 270-282-5197