Organization
HYDE FAMILY DENTISTRY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRA J. HYDE DMD (AUTHORIZED OFFICIAL)
(502) 309-8638
Entity
Organization
Contact information
Practice address
1120 HIGH ST, BRANDENBURG, KY 40108-1514
(270) 422-4923
Mailing address
200 SHELBI DR, GUSTON, KY 40142-7052
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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