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Organization
HARLAN DENTAL CLINIC PSC
Active
Organization
HARLAN DENTAL CLINIC PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW G NUNEZ (PRESIDENT)
(606) 573-9944
Entity
Organization
Contact information
Practice address
106 RAILROAD ST, BUILDING 2, HARLAN, KY 40831-2320
(606) 573-9944
(606) 573-9995
Mailing address
106 RAILROAD ST, BUILDING 2, HARLAN, KY 40831-2320
(606) 573-9944
(606) 573-9995
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61943676
—
KY
Enumeration date
08/11/2006
Last updated
08/20/2015
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