Individual
MRS. SUSAN PINGLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2006 MERCHANT DR, RICHMOND, KY 40475-8167
(859) 626-7977
(859) 626-5103
Mailing address
3053 COPPER CREEK RD, BEREA, KY 40403-8939
(859) 925-2064
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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