Provider First Line Business Practice Location Address:
155 E MAIN ST
Provider Second Line Business Practice Location Address:
ELKHORN DENTAL
Provider Business Practice Location Address City Name:
ELKHORN CITY
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41522
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-565-6902
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/03/2014