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1212 Ashley Cir Suite 4 Bowling Green KY 42104-5821 | |
| (270) 901-0497 | |
| (270) 901-0496 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1212 Ashley Cir, Bowling Green, Kentucky |
| Authorized Official Name and Position | Frank L Duncan (PRESIDENT) |
| Authorized Official Contact | 2702374747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1212 Ashley Cir Suite 4 Bowling Green KY 42104-5821 Ph: (270) 901-0497 | 1212 Ashley Cir Suite 4 Bowling Green KY 42104-5821 Ph: (270) 901-0497 |
| NPI Number | 1275709461 |
|---|---|
| Provider Enumeration Date | 05/07/2008 |
| Last Update Date | 05/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275709461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6991 (Kentucky) | Primary |
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