MODERN KIDS DENTISTRY OF NICHOLASVILLE
Organization (NPI-2)
Active
Dentist, Pediatric Dentistry
Provider Information
- NPI Number
1851821854- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 611 N MAIN ST, NICHOLASVILLE, KY, 403561025
- Phone
- (859) 759-4428
Specialties & Taxonomies
Dentist, Pediatric Dentistry
License: KY #8732
Dentist, Pediatric Dentistry
Primary License: KY #8778