Individual
AMANDA CLAIRE MOBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
104 LEGACY DR, BEREA, KY 40403-9594
(859) 986-2323
Mailing address
401 HIGHLAND PARK DR, RICHMOND, KY 40475-3839
(859) 626-7700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.027643
OH
122300000X
Dentist
Primary
D-00144
KY
Other
Enumeration date
06/25/2024
Last updated
07/07/2026
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