Alfred Raymond Gernert, DMD MS ORTHODONTICS Valid NPI
Individual provider · Dentist · Lagrange, KY
- NPI
- 1205817145
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 3961 (KY)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-11-08
- Last updated
- 2015-08-17
Practice location
604 Crystal Place, Site 2a
Lagrange, KY 40031
(502) 222-6202