Individual
DR. TATYANA FURMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
309 N WILSON RD, RADCLIFF, KY 40160
(270) 352-4343
(270) 352-2323
Mailing address
309 N WILSON RD, RADCLIFF, KY 40160
(270) 352-4343
(270) 352-2323
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12012060A
IN
122300000X
Dentist
8518
KY
1223G0001X
General Practice Dentistry
Primary
8518
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689869398
—
IN
05
—
1689869398
—
KY
Enumeration date
09/06/2007
Last updated
12/20/2021
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