Organization
PROFESSIONAL DENTAL SERVICES OF KENTUCKY PSC
Active
Other names
Bright Tiger Dental
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GUY (OWNER/DDS)
(913) 355-1121
Entity
Organization
Contact information
Practice address
4814 OUTER LOOP STE A, LOUISVILLE, KY 40219-3302
(502) 378-5479
Mailing address
10601 MISSION RD STE 240, LEAWOOD, KS 66206-2427
(913) 355-1121
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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