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Organization
CARLISLE FAMILY DENTAL
Active
Organization
CARLISLE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON IRA ALLEN D.M.D. (OWNER/DENTIST)
(859) 227-7290
Entity
Organization
Contact information
Practice address
110 S LOCUST ST, CARLISLE, KY 40311-1123
(859) 289-5418
(859) 289-8153
Mailing address
110 S LOCUST ST, CARLISLE, KY 40311-1123
(859) 289-5418
(859) 289-8153
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8056
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100053320
—
KY
Enumeration date
03/14/2012
Last updated
03/14/2012
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