| Mall Raod Dental Center | |
|
8197 Mall Rd Florence KY 41042-1413 | |
| (859) 801-4036 | |
| Not Available |
| Full Name | Mall Raod Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 8197 Mall Rd, Florence, Kentucky |
| Authorized Official Name and Position | Jay Sadrinia (DENTIST) |
| Authorized Official Contact | 8598014036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mall Raod Dental Center 8197 Mall Rd Florence KY 41042-1413 Ph: (859) 801-4036 | Mall Raod Dental Center 8197 Mall Rd Florence KY 41042-1413 Ph: (859) 801-4036 |
| NPI Number | 1285024331 |
|---|---|
| Provider Enumeration Date | 01/28/2015 |
| Last Update Date | 01/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285024331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6596 (Kentucky) | Primary |
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