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Organization

LAKER DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT BRIAN GRIPPE DMD (OWNER)
(606) 451-2273
Entity
Organization

Contact information

Practice address
54 IMAGING DR, SOMERSET, KY 42503-2871
(606) 451-2273
(606) 451-9322
Mailing address
54 IMAGING DR, SOMERSET, KY 42503-2871
(606) 451-2273
(606) 451-9322

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
11/04/2010
Last updated
11/04/2010
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