KENTUCKY CENTER FOR ORAL & MAXILLOFACIAL SURGERY PSC
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1457379307- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 4097 ATWOOD DRIVE, RICHMOND, KY, 404752454
- Phone
- (859) 623-7711
- Fax
- (859) 624-2611
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: KY