Dhda Hfd, Pllc

NPI #1386234672 in Fort Thomas, Kentucky

Provider Information

NPI Number: 1386234672
Entity Type: Organization
Organization Name: Dhda Hfd, Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: DHDA PROVIDERCO, PLLC
Primary Specialty: Dentist
Enumeration Date: Jan 21, 2021
Last Updated: Jan 21, 2021

Practice Location

Address: 20 N GRAND AVE STE 10AND11
City: Fort Thomas
State: Kentucky
ZIP Code: 41075-4106
Phone: (203) 921-6141

Authorized Official

Name: PAUL T LAVELLE, DMD
Title: CLINICAL DIRECTOR
Phone: (203) 921-6141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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