Organization
AUDUBON DENTAL CENTER, PSC
Active
Parent organization
AUDUBON DENTAL CENTER, PSC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AUDUBON DENTAL CENTER, PSC
Authorized official
S. KURTIS WILSON (OWNER)
(270) 826-2092
Entity
Organization
Contact information
Practice address
610 CARLTON DR, OWENSBORO, KY 42303-7709
(270) 683-6623
Mailing address
716 2ND ST, HENDERSON, KY 42420-3227
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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