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1902671373
CRISP DRE LLC
WINCHESTER, KY
NPI
1902671373
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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
2023-11-16
Last Update Date
2023-11-16
Business Address
CRISP DRE LLC
11 CANARY LN
WINCHESTER, KY 40391-1645
Phone number: 859-744-7031
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Mailing Address
CRISP DRE LLC
105 SPRUCE ST
LEXINGTON, KY 40507-2109
Phone number:
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