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Organization

AUDUBON DENTAL CENTER, PSC

Active
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Organization

AUDUBON DENTAL CENTER, PSC

Active
Parent organization
AUDUBON DENTAL CENTER, PSC
Organization subpart
Yes

Provider details

NPI number
Legal business name
AUDUBON DENTAL CENTER, PSC
Authorized official
S. KURTIS WILSON (OWNER)
(270) 826-2092
Entity
Organization

Contact information

Practice address
610 CARLTON DR, OWENSBORO, KY 42303-7709
(270) 683-6623
Mailing address
716 2ND ST, HENDERSON, KY 42420-3227

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—

Other

Enumeration date
12/06/2007
Last updated
12/06/2007
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