Organization
JOSEPH DENTAL OF SOUTH SHORE LLC
Active
Other names
South Shore Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOE ROBERT JOSEPH JR. DDS (OWNER)
(614) 777-8722
Entity
Organization
Contact information
Practice address
126 BIGGS LN, SOUTH SHORE, KY 41175-7847
(606) 932-3181
Mailing address
126 BIGGS LN, SOUTH SHORE, KY 41175-7847
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19829
OH
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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