Prospect Dental Plc

NPI #1508637620 in Prospect, Kentucky

Provider Information

NPI Number
1508637620
Entity Type
Organization
Organization Name
Prospect Dental Plc
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 9, 2024
Last Updated
Jan 9, 2024

Practice Location

Address
9207 US HIGHWAY 42 STE F
ZIP Code
40059-9391
Phone
(502) 228-4700

Authorized Official

Name
JENNY GARCIA-ROCHA
Title
SR CREDENTIALING TEAM LEAD
Phone
(972) 869-3789

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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