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Organization
PROFESSIONAL DENTAL SERVICES OF KENTUCKY PSC
Active
Organization
PROFESSIONAL DENTAL SERVICES OF KENTUCKY PSC
Active
Other names
Bright Tiger Dental
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GUY (OWNER/DDS)
(913) 355-1121
Entity
Organization
Contact information
Practice address
4814 OUTER LOOP STE A, LOUISVILLE, KY 40219-3302
(502) 378-5479
Mailing address
10601 MISSION RD STE 240, LEAWOOD, KS 66206-2427
(913) 355-1121
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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