| 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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