Individual
DR. TIMOTHY R UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
145 W BROAD ST, CENTRAL CITY, KY 42330-1568
(270) 754-9494
Mailing address
145 W BROAD ST, CENTRAL CITY, KY 42330-1568
(270) 754-9494
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5231
KY
Other
Enumeration date
03/21/2010
Last updated
03/21/2010
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