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Organization

ALDERDICE ORAL AND MAXILLOFACIAL SURGEONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BENNIE ALDERDICE SR. D.M.D. (OWNER)
(606) 679-8568
Entity
Organization

Contact information

Practice address
100 HARDIN LN, STE B, SOMERSET, KY 42503-3812
(606) 679-8568
(606) 676-0868
Mailing address
100 HARDIN LN, STE B, SOMERSET, KY 42503-3812
(606) 679-8568
(606) 676-0868

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
4939
KY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary

Other

Enumeration date
07/23/2013
Last updated
07/23/2013
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