Commonwealth Health Free Clinic, INC
NPI #1114169661 in Bowling Green, Kentucky
Provider Information
- NPI Number
- 1114169661
- Entity Type
- Organization
- Organization Name
- Commonwealth Health Free Clinic, INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 30, 2009
- Last Updated
- Mar 30, 2009
Practice Location
- Address
- 740 E 10TH AVE
- City
- Bowling Green
- State
- Kentucky
- ZIP Code
- 42101-2318
- Phone
- (270) 781-9765
Authorized Official
- Name
- RONALD G. SOWELL
- Title
- EXECUTIVE VICE PRESIDENT
- Phone
- (270) 781-9765
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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