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Individual

MARTHA R RICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
240 N MAIN ST, VERSAILLES, KY 40383-1251
(859) 873-7183
(859) 873-7183
Mailing address
240 N MAIN ST, VERSAILLES, KY 40383-1251
(859) 873-7183
(859) 873-7183

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
5300
KY
1223G0001X
General Practice Dentistry
Primary
5300
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60053006
KY
Enumeration date
04/09/2007
Last updated
02/02/2015
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