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Organization
COMMONWEALTH HEALTH FREE CLINIC, INC
Active
Organization
COMMONWEALTH HEALTH FREE CLINIC, INC
Active
Other names
THE DENTAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD G. SOWELL (EXECUTIVE VICE PRESIDENT)
(270) 781-9765
Entity
Organization
Contact information
Practice address
740 E 10TH AVE, BOWLING GREEN, KY 42101-2318
(270) 781-9765
(270) 782-6461
Mailing address
PO BOX 9577, BOWLING GREEN, KY 42102-9577
(270) 745-1467
(270) 745-1156
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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