Organization
MARK H. HARVEY, D.M.D., PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK H HARVEY DMD (PRESIDENT)
(270) 737-3368
Entity
Organization
Contact information
Practice address
1602 LAKEWOOD DR, ELIZABETHTOWN, KY 42701-5458
(270) 737-3368
Mailing address
1602 LAKEWOOD DR, ELIZABETHTOWN, KY 42701-5458
(270) 737-3368
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5354
KY
Other
Enumeration date
02/03/2007
Last updated
08/22/2020
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