Bohle Family Dentistry, Psc

NPI 1003135534 - Clinic/Center - 261QD0000X

NPI Details
NPI 1003135534
Enumeration Date 05/24/2010
Last Updated 05/24/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name CHARLES J CHARLES
Position PRESIDENT
Phone (270) 442-0256
Fax (270) 442-8730
Practice Location
1836 BROADWAY ST
PADUCAH KY, 42001-2708, US
Phone (270) 442-0256
Fax (270) 442-8730
Business Location
1836 BROADWAY ST
PADUCAH KY, 42001-2708, US
Phone (270) 442-0256
Fax (270) 442-8730
Toxanomy
Taxonomy Code 261QD0000X
License State
License Number
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According to our database, Bohle Family Dentistry, Psc NPI is 1003135534, taxonomy code is 261QD0000X Bohle Family Dentistry, Psc physically located at 1836 Broadway St, Paducah KY, 42001-2708. NPI Number 1033115704 has the healthcare provider type.

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1003135534 NPI number is provided on an as is basis without warranty of any kind. 1003135534 is maintained by the National Plan & Provider Enumeration System. The contents of Bohle Family Dentistry, Psc are for informational purposes only.