Organization
MALL RAOD DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY SADRINIA DMD (DENTIST)
(859) 801-4036
Entity
Organization
Contact information
Practice address
8197 MALL RD, FLORENCE, KY 41042-1413
(859) 801-4036
Mailing address
8197 MALL RD, FLORENCE, KY 41042-1413
(859) 801-4036
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6596
KY
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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