Individual
ADRIANA TASE TENRRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
100 VINELAND CENTRE DR, VINE GROVE, KY 40175-8430
(270) 877-2902
Mailing address
3436 BRYAN WAY, LOUISVILLE, KY 40220-1930
(502) 807-1909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10796
KY
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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