Individual
DR. MATTHEW PETER GANDOLFO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2404 GREATSTONE PT, LEXINGTON, KY 40504-3274
(859) 224-8111
(859) 224-8211
Mailing address
2404 GREATSTONE PT, LEXINGTON, KY 40504-3274
(859) 224-8111
(859) 224-8211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3960
KY
Other
Enumeration date
06/10/2006
Last updated
07/08/2007
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