Individual
DR. CORY MATTHEW MIDDENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
155 BARNWOOD DRIVE, SUITE 1, EDGEWOOD, KY 41017
(859) 331-3400
Mailing address
155 BARNWOOD DRIVE, SUITE 1, EDGEWOOD, KY 41017
(859) 331-3400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9483
KY
Other
Enumeration date
06/10/2014
Last updated
07/15/2015
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