Organization · Type 2 NPI

Kids Dentistry-Lagrange, PLLC

Dental Clinic/Center · La Grange, KY

NPI number 1104196989 Active

About NPI 1104196989

Kids Dentistry-Lagrange, PLLC's National Provider Identifier is 1104196989, issued on Jan 10, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in La Grange, KY. The record was last updated on Jan 20, 2012.