Organization
LEBANON FAMILY DENTAL CARE, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILY M. ZINK CPA (TREASURER)
(270) 692-4339
Entity
Organization
Contact information
Practice address
219 S PROCTOR KNOTT AVE, LEBANON, KY 40033-1219
(270) 692-4339
(270) 692-5697
Mailing address
219 S PROCTOR KNOTT AVE, LEBANON, KY 40033-1219
(270) 692-4339
(270) 692-5697
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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