Individual
DR. YANN JULIEN RODENAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
968 1ST INFANTRY DIVISION RD, FORT KNOX, KY 40121-5210
(765) 702-1557
Mailing address
968 1ST INFANTRY DIVISION RD, FORT KNOX, KY 40121-5210
(765) 702-1557
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9028
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019031132
STATE LICENSE
IL
Enumeration date
05/31/2017
Last updated
03/16/2023
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