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Organization
BOWLING GREEN PEDIATRIC DENTISTRY PLLC
Active
Organization
BOWLING GREEN PEDIATRIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW DAMIN DMD MSD (OWNER)
(270) 316-7555
Entity
Organization
Contact information
Practice address
1687 BRIANNA CT, BOWLING GREEN, KY 42104-5380
(270) 316-7555
(270) 715-0931
Mailing address
1687 BRIANNA CT, BOWLING GREEN, KY 42104-5380
(270) 316-7555
(270) 715-0931
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
03/28/2025
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