Kids Dentistry-Lagrange, Pllc

NPI #1104196989 in La Grange, Kentucky

Provider Information

NPI Number
1104196989
Entity Type
Organization
Organization Name
Kids Dentistry-Lagrange, Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jan 10, 2012
Last Updated
Jan 20, 2012

Practice Location

Address
2005 S HIGHWAY 53
Address 2
SUITE D
ZIP Code
40031-9109
Phone
(502) 225-6820

Authorized Official

Name
SETPHEN JAMES
Title
CFO
Phone
(502) 254-8504

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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