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Brent Bevins, DMD Valid NPI

Individual provider · General Practice Dentistry · Covington, KY

NPI
1780683094
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
4435 (KY)
Sex
Male
Sole proprietor
No
Enumerated
2005-07-19
Last updated
2007-07-08
Practice location
1132 Greenup St
Covington, KY 41011-3256
(859) 655-6100

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