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Organization
NEVILLE DENTAL STUDIO
Active
Organization
NEVILLE DENTAL STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LES NEVILLE DMD (DENTIST)
(270) 715-2978
Entity
Organization
Contact information
Practice address
155 OLDE TOWNE BLVD, BOWLING GREEN, KY 42103
(270) 715-2978
Mailing address
155 OLDE TOWNE BLVD, BOWLING GREEN, KY 42103
(270) 715-2978
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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