Individual
DARRA J HYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1120 HIGH ST, BRANDENBURG, KY 40108-1514
(270) 422-4923
Mailing address
200 SHELBI DR, GUSTON, KY 40142-7052
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11194
KY
Other
Enumeration date
07/01/2024
Last updated
11/04/2024
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