Organization
DAVIS COSMETIC AND FAMILY DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENITA DAVIS (HR & PRACTICE MANAGER)
(502) 744-3988
Entity
Organization
Contact information
Practice address
115 E FLAGET ST, BARDSTOWN, KY 40004-1517
(502) 836-2830
Mailing address
115 E FLAGET ST, BARDSTOWN, KY 40004-1517
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8660
KY
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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