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Organization
PEBBLE CREEK FAMILY DENTISTRY, P.L.L.C.
Active
Organization
PEBBLE CREEK FAMILY DENTISTRY, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD J. SEGEBARTH D.D.S. (OWNER)
(270) 825-2686
Entity
Organization
Contact information
Practice address
2100 N MAIN ST, MADISONVILLE, KY 42431-9007
(270) 825-2686
(270) 821-7306
Mailing address
2100 N MAIN ST, MADISONVILLE, KY 42431-9007
(270) 825-2686
(270) 821-7306
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4359
KY
Other
Enumeration date
02/15/2007
Last updated
03/26/2008
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