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Organization
MILTON FAMILY DENTAL, PLLC
Active
Organization
MILTON FAMILY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES O'CONNOR (CEO)
(502) 268-3192
Entity
Organization
Contact information
Practice address
25 AGIN WAY, MILTON, KY 40045-1509
(502) 268-3192
(502) 268-5903
Mailing address
25 AGIN WAY, MILTON, KY 40045-1509
(502) 268-3192
(502) 268-5903
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5403
KY
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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