Audubon Dental Center, Psc | |
610 Carlton Dr Owensboro KY 42303-7709 | |
(270) 683-6623 | |
Not Available |
Full Name | Audubon Dental Center, Psc |
---|---|
Speciality | Dentist |
Location | 610 Carlton Dr, Owensboro, Kentucky |
Authorized Official Name and Position | S. Kurtis Wilson (OWNER) |
Authorized Official Contact | 2708262092 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Audubon Dental Center, Psc 716 2nd St Henderson KY 42420-3227 Ph: () - | Audubon Dental Center, Psc 610 Carlton Dr Owensboro KY 42303-7709 Ph: (270) 683-6623 |
NPI Number | 1306029848 |
---|---|
Provider Enumeration Date | 12/06/2007 |
Last Update Date | 12/06/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306029848 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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