Organization
COMMONWEALTH HEALTH FREE CLINIC, INC
Active
Other names
THE DENTAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD G. SOWELL (EXECUTIVE VICE PRESIDENT)
(270) 781-9765
Entity
Organization
Contact information
Practice address
740 E 10TH AVE, BOWLING GREEN, KY 42101-2318
(270) 781-9765
(270) 782-6461
Mailing address
PO BOX 9577, BOWLING GREEN, KY 42102-9577
(270) 745-1467
(270) 745-1156
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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