Individual
SOGOL DAVARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2005 S HIGHWAY 53, LA GRANGE, KY 40031-9109
(502) 225-0074
Mailing address
825 CLARKS LN, LOUISVILLE, KY 40217-2440
(502) 836-6001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11223
KY
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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