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1831962463
ETOWN DENTISTRY DRE LLC
ELIZABETHTOWN, KY
NPI
1831962463
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Entity Type
Organization
Authorized Contact
ELIZABETH DAVIS
Director Of Revenue
859-533-1109
Organization Subpart ?
No
Primary Taxonomy
1223P0221X Dentist Pediatric Dentistry
Enumeration Date
2023-11-06
Last Update Date
2023-11-06
Business Address
ETOWN DENTISTRY DRE LLC
1107 CROWN POINTE DR STE 210
ELIZABETHTOWN, KY 42701-7281
Phone number: 270-769-3858
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Mailing Address
ETOWN DENTISTRY DRE LLC
105 SPRUCE ST
LEXINGTON, KY 40507-2109
Phone number: 859-533-1109
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