Organization
OWENSBORO-DAVIESS COUNTY REGIONAL DENTAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON TAYLOR DMD (CLINICAL DIRECTOR)
(270) 691-6205
Entity
Organization
Contact information
Practice address
2315 MAYFAIR DR, SUITE 32, OWENSBORO, KY 42301-4557
(270) 691-6205
Mailing address
2315 MAYFAIR DR, SUITE 32, OWENSBORO, KY 42301-4557
(270) 691-6205
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/24/2009
Last updated
06/22/2012
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