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Individual

ASHLEY MARIE DIMEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
6145 DESERT STORM AVE, FORT CAMPBELL, KY 42223-5558
(270) 412-2787
Mailing address
12622 ORELL STATION PL, LOUISVILLE, KY 40272-4661
(270) 993-4776

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10757
KY
1223G0001X
General Practice Dentistry
10757
KY

Other

Enumeration date
06/04/2022
Last updated
06/27/2023
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