Individual
JESSICA JANE EUGENIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
130 STONECREST RD, SHELBYVILLE, KY 40065-8126
(502) 633-1584
(502) 633-1509
Mailing address
130 STONECREST RD STE 101, SHELBYVILLE, KY 40065-8126
(502) 633-1584
(502) 633-1509
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7191
KY
Other
Enumeration date
11/08/2005
Last updated
09/23/2008
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