Individual
MRS. PAMELA ANN REVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
210 BELLAIRE DR, NICHOLASVILLE, KY 40356
(859) 887-3835
(859) 887-0351
Mailing address
210 BELLAIRE DR, NICHOLASVILLE, KY 40356
(859) 887-3835
(859) 887-0351
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7128
KY
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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