Organization
BAUGHMAN & EWALD, P.S.C.
Active
Other names
Dr. Mary T. Ewald
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY TYLER EWALD D.M.D. (DENTIST)
(502) 361-1872
Entity
Organization
Contact information
Practice address
508 FAIRDALE ROAD, FAIRDALE,, KY 40118
(502) 361-1872
(502) 363-0539
Mailing address
508 FAIRDALE ROAD, FAIRDALE,, KY 40118
(502) 361-1872
(502) 363-0539
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
5271
KY
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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