is a Orthodontics And Dentofacial Orthopedics in Bowling Green, Kentucky. practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for is 1841400462. The last update date is .
's current location address is 895 Wilkinson Trce, Bowling Green, Kentucky. You can contact this provider via phone number 2707811025 and fax number 2707818707. The mailing address for is 895 Wilkinson Trce, Bowling Green, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 895 Wilkinson Trce, Bowling Green, Kentucky |
| Phone Number | 2707811025 |
| Fax Number | 2707818707 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1841400462 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 895 Wilkinson Trce |
|---|---|
| City | Bowling Green |
| State | Kentucky (KY) |
| Post Code | 421032486 |
| Phone Number | 2707811025 |
| Fax Number | 2707818707 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 4133 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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