Pediatric Dental Garden Center | |
2765 Chapel Pl Ste. 250 Crestview Hills KY 41017-3413 | |
(859) 344-6200 | |
(859) 344-0980 |
Full Name | Pediatric Dental Garden Center |
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Speciality | Dentist - Pediatric Dentistry |
Location | 2765 Chapel Pl, Crestview Hills, Kentucky |
Authorized Official Name and Position | Sophie Duval-austin (DENTIST) |
Authorized Official Contact | 8593446200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pediatric Dental Garden Center 2765 Chapel Pl Ste. 250 Crestview Hills KY 41017-3413 Ph: (859) 344-6200 | Pediatric Dental Garden Center 2765 Chapel Pl Ste. 250 Crestview Hills KY 41017-3413 Ph: (859) 344-6200 |
NPI Number | 1285902940 |
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Provider Enumeration Date | 12/09/2011 |
Last Update Date | 12/09/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285902940 | NPI | - | NPPES |
1316094329 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 8183 (Kentucky) | Primary |
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