Bourbon Family Dentistry

NPI 1396801395 - Dentist - 1223G0001X

NPI Details
NPI 1396801395
Enumeration Date 12/28/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARION SUSANNE MARION
Position DENTIST OWNER
Phone (859) 988-0308
Fax (859) 988-0310
Practice Location
4223 A LEXINGTON RD
PARIS KY, 40361, US
Phone (859) 988-0308
Fax (859) 988-0310
Business Location
4223 A LEXINGTON RD
PARIS KY, 40361, US
Phone (859) 988-0308
Fax (859) 988-0310
Toxanomy
Taxonomy Code 1223G0001X
License State Kentucky
License Number 7770KY
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According to our database, Bourbon Family Dentistry NPI is 1396801395, taxonomy code is 1223G0001X and license number is 7770KY, license state is located at Kentucky. Bourbon Family Dentistry physically located at 4223 A Lexington Rd, Paris KY, 40361. NPI Number 1033115704 has the healthcare provider type.

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1396801395 NPI number is provided on an as is basis without warranty of any kind. 1396801395 is maintained by the National Plan & Provider Enumeration System. The contents of Bourbon Family Dentistry are for informational purposes only.