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Individual

DR. ANDREA GRIGGS CHILDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
740 S LIMESTONE ROOM A262, LEXINGTON, KY 40536
(859) 323-6723
Mailing address
740 S LIMESTONE ROOM A262, LEXINGTON, KY 40536-0001

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
10135
KY
122300000X
Dentist
Primary
30.025711
OH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/29/2018
Last updated
05/14/2019
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