Organization
JASON O GAMBREL P.S.C.
Active
Other names
Madison Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON O GAMBREL D.M.D. (PRESIDENT)
(859) 626-9851
Entity
Organization
Contact information
Practice address
1018 IVAL JAMES BLVD, SUITE C, RICHMOND, KY 40475
(859) 626-9851
(859) 626-9854
Mailing address
1018 IVAL JAMES BLVD, SUITE C, RICHMOND, KY 40475
(859) 626-9851
(859) 626-9854
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7992
KY
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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