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Dentist

NPI: 1487179735Individual

Specialties, Licenses & Credentials

DentistPrimary

Dentist

Code: 122300000X

2901022395(MI)

Contact & Hours

Via practice · 2 locations total

Address
2441 21ST ST
FORT CAMPBELL, KY 42223

Quick Facts

NPI
1487179735
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
1
Locations
2

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