Dhda Hebron, Pllc

NPI #1851984439 in Hebron, Kentucky

Provider Information

NPI Number: 1851984439
Entity Type: Organization
Organization Name: Dhda Hebron, Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: DHDA PROVIDERCO, PLLC
Primary Specialty: Dentist
Enumeration Date: Feb 16, 2021
Last Updated: Feb 16, 2021

Practice Location

Address: 1930 PETERSBURG RD
City: Hebron
State: Kentucky
ZIP Code: 41048-8291
Phone: (859) 586-5620

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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