Provider First Line Business Practice Location Address:
UK DENTISTRY WEST REGIONAL CLINIC
Provider Second Line Business Practice Location Address:
267 SLICKBACK RD
Provider Business Practice Location Address City Name:
BENTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42025-7629
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
270-527-8441
Provider Business Practice Location Address Fax Number:
270-527-4187
Provider Enumeration Date:
04/04/2007