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Individual

MR. MICHAEL E MOLONY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD PSC

Contact information

Practice address
2220 GRANDVIEW DRIVE, SUITE 240, FT MITCHELL, KY 41017
(859) 344-0400
(859) 344-8980
Mailing address
2220 GRANDVIEW DRIVE, SUITE 240, FT MITCHELL, KY 41017
(859) 344-0400
(859) 344-8980

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4458
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
501030
UNITED CONCORDIA
KY
05
60044583
KY
Enumeration date
12/19/2006
Last updated
07/08/2007
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