Individual
JESSICA GABHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
535 WESTPORT RD, ELIZABETHTOWN, KY 42701-2949
(270) 982-3624
Mailing address
535 WESTPORT RD, ELIZABETHTOWN, KY 42701-2949
(270) 982-3624
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10433
KY
Other
Enumeration date
05/22/2020
Last updated
05/22/2020
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