Dhp Retail Entity, LLC
NPI #1285199562 in Bowling Green, Kentucky
Provider Information
- NPI Number
- 1285199562
- Entity Type
- Organization
- Organization Name
- Dhp Retail Entity, LLC
- Primary Specialty
- Optometrist
- Enumeration Date
- Jan 31, 2019
- Last Updated
- Jan 31, 2019
Practice Location
- Address
- 1680 CAMPBELL LN STE 104
- City
- Bowling Green
- State
- Kentucky
- ZIP Code
- 42104-1062
- Phone
- (561) 275-2020
Authorized Official
- Name
- JACKIE BENNETT
- Title
- CREDENTIALING MANAGER
- Phone
- (561) 433-6009
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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