Organization
CHYRON LLC
Active
Other names
The Underwood and Lee Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY DAVID HOOD DMD (CCO)
(502) 368-2348
Entity
Organization
Contact information
Practice address
1800 BLUEGRASS AVENUE, STE A, LOUISVILLE, KY 40215
(502) 368-2348
(502) 368-2340
Mailing address
1800 BLUEGRASS AVENUE, STE A, LOUISVILLE, KY 40215
(502) 368-2348
(502) 368-2340
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6795
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61901047
—
KY
Enumeration date
01/02/2007
Last updated
02/28/2011
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