Individual
DR. SOPHIE DUVAL-AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
25 TOWN CENTER BLVD, SUITE 202, CRESTVIEW HILLS, KY 41017-2417
(859) 344-6200
(859) 344-0980
Mailing address
25 TOWN CENTER BLVD, SUITE 202, CRESTVIEW HILLS, KY 41017-2417
(859) 344-6200
(859) 344-0980
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
8183
KY
1223P0221X
Pediatric Dentistry
Primary
8183
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100004690
—
KY
Enumeration date
01/04/2007
Last updated
08/29/2013
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