Foundational Dental Limited Liability Company
NPI #1306629050 in Lexington, Kentucky
Provider Information
- NPI Number
- 1306629050
- Entity Type
- Organization
- Organization Name
- Foundational Dental Limited Liability Company
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 16, 2023
- Last Updated
- Aug 16, 2023
Practice Location
Authorized Official
- Name
- RYAN GLENN WHITE
- Title
- MANAGING MEMBER
- Phone
- (270) 339-4583
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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