Individual
BRENDA R LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
412 N KENTUCKY AVE, MADISONVILLE, KY 42431-1711
(270) 821-5242
(270) 825-0138
Mailing address
412 N KENTUCKY AVE, MADISONVILLE, KY 42431-1711
(270) 821-5242
(270) 825-0138
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2170
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2170
DENTAL HYGIENE LICENSE
KY
Enumeration date
06/23/2008
Last updated
06/23/2008
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