Individual
DR. ADRIENNE LASHAE CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4095 ATWOOD DR STE A, RICHMOND, KY 40475-8325
(859) 623-1700
Mailing address
PO BOX 1658, MOUNT VERNON, KY 40456-1658
(606) 308-5045
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10129
KY
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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