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Organization
KIDS FIRST DENTAL CARE, LLC
Active
Organization
KIDS FIRST DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN E. SMITH DMD (OWNER)
(606) 546-7410
Entity
Organization
Contact information
Practice address
119 PINE ST, BARBOURVILLE, KY 40906-1517
(606) 546-7410
(606) 545-7261
Mailing address
119 PINE ST, BARBOURVILLE, KY 40906-1517
(606) 546-7410
(606) 545-7261
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6381
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61901070
—
KY
Enumeration date
06/06/2007
Last updated
04/20/2012
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