Provider First Line Business Practice Location Address:
BCTC DENTAL HYGIENE
Provider Second Line Business Practice Location Address:
250 OSWALD BUILDING 470 COOPER DRIVE
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40506-0235
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-246-6232
Provider Business Practice Location Address Fax Number:
859-246-4667
Provider Enumeration Date:
11/10/2014