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Tritle Family Dentistry, Psc

Clinic/Center, Dental in Paducah, KY. Organization (NPI-2).

NPI number1003276965
StatusActive
Last updated in NPPESMar 3, 2016

Details

NPI
1003276965
Entity type
Organization (NPI-2)
Legal business name
Tritle Family Dentistry, Psc
Organization subpart
No
Enumeration date
Mar 3, 2016
Last updated
Mar 3, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental––Yes

Practice location

2418 New Holt Rd
Paducah, KY 42001-7455

Phone 270-554-4445 · Fax 270-554-4248

Mailing address

2418 New Holt Rd
Paducah, KY 42001-7455

Phone 270-554-4445 · Fax 270-554-4248

Authorized official

Andrew Beyerle Tritle
President
5022992888

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