Bowling Green Pediatric Dentistry Pllc | |
727 Us 31w Byp Ste 101 Bowling Green KY 42101-4963 | |
(270) 316-7555 | |
(270) 715-0931 |
Full Name | Bowling Green Pediatric Dentistry Pllc |
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Speciality | Clinic/center - Dental |
Location | 727 Us 31w Byp Ste 101, Bowling Green, Kentucky |
Authorized Official Name and Position | Matthew Damin (OWNER) |
Authorized Official Contact | 2703167555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bowling Green Pediatric Dentistry Pllc 727 Us 31w Byp Ste 101 Bowling Green KY 42101-4963 Ph: (270) 316-7555 | Bowling Green Pediatric Dentistry Pllc 727 Us 31w Byp Ste 101 Bowling Green KY 42101-4963 Ph: (270) 316-7555 |
NPI Number | 1962010611 |
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Provider Enumeration Date | 07/20/2020 |
Last Update Date | 07/23/2020 |
Identifier | Type | State | Issuer |
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1962010611 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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