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1602 Westen St Bowling Green KY 42104-4156 | |
| (270) 781-1706 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 1602 Westen St, Bowling Green, Kentucky |
| Authorized Official Name and Position | Pam Buscemi (VP BUSINESS OPERATIONS) |
| Authorized Official Contact | 6156205990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 306208 Nashville TN 37230-6208 Ph: (615) 620-5990 | 1602 Westen St Bowling Green KY 42104-4156 Ph: (270) 781-1706 |
| NPI Number | 1538601943 |
|---|---|
| Provider Enumeration Date | 11/16/2016 |
| Last Update Date | 08/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538601943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5637 (Kentucky) | Primary |
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