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Individual

DR. BEVERLY H. DORRANCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
7420 WESTPORT RD, LOUISVILLE, KY 40222-4106
(502) 412-3444
(502) 412-3424
Mailing address
150 LONG RUN RD, LOUISVILLE, KY 40245-4363
(502) 244-1006

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7325
KY

Other

Enumeration date
04/11/2007
Last updated
07/08/2007
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