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Organization

LAUREL DENTAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BARRY V BINGHAM DMD (OWNER)
(606) 877-2700
Entity
Organization

Contact information

Practice address
1303 S LAUREL RD, LONDON, KY 40744-8304
(606) 877-2700
(606) 877-9190
Mailing address
1303 S LAUREL RD, LONDON, KY 40744-8304
(606) 877-2700
(606) 877-9190

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6278
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60062783
KY
Enumeration date
06/12/2008
Last updated
11/03/2014
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