NPI 1598025108

Kty Dental Psc

Organisation General Practice Dentistry Ashland, KY

Practice location

Address: 500 Winchester Ave STE 420, Ashland, KY 41101-7362
Phone: (866) 273-8204
Mailing address: PO Box 3189, Syracuse, NY 13220-3189

Authorised official

Name: Arwinder Judge
Title: Owner
Phone: (866) 273-8204

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 8709 (KY)

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Registry record

NPI: 1598025108
Entity type: Organization
NPI issued: 17 May 2012
Record last updated: 17 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.