Organization
LAKE CUMBERLAND PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA DAVIDSON GABBARD DMD (PEDIATRIC DENTIST)
(859) 421-7838
Entity
Organization
Contact information
Practice address
100 HARDIN LN STE A, SOMERSET, KY 42503-3812
(859) 421-7838
Mailing address
100 HARDIN LN STE A, SOMERSET, KY 42503-3812
(606) 425-5504
(606) 425-5804
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9333
KY
Other
Enumeration date
07/16/2018
Last updated
02/12/2024
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