| Dhda Hfd, Pllc | |
|
20 N Grand Ave Ste 10and11 Fort Thomas KY 41075-4106 | |
| (203) 921-6141 | |
| Not Available |
| Full Name | Dhda Hfd, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 20 N Grand Ave Ste 10and11, Fort Thomas, Kentucky |
| Authorized Official Name and Position | Paul T Lavelle (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2039216141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dhda Hfd, Pllc 5404 Farm Ridge Ln Prospect KY 40059-7617 Ph: (203) 921-6141 | Dhda Hfd, Pllc 20 N Grand Ave Ste 10and11 Fort Thomas KY 41075-4106 Ph: (203) 921-6141 |
| NPI Number | 1386234672 |
|---|---|
| Provider Enumeration Date | 01/21/2021 |
| Last Update Date | 01/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386234672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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