Dhda Providerco, Pllc
NPI #1902432537 in Prospect, Kentucky
Provider Information
- NPI Number
- 1902432537
- Entity Type
- Organization
- Organization Name
- Dhda Providerco, Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DHDA PROVIDERCO, PLLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 16, 2020
- Last Updated
- Mar 16, 2020
Practice Location
Authorized Official
- Name
- PAUL T LAVELLE, DMD
- Title
- SOLE MEMBER
- Phone
- (502) 228-0404
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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