Granit Dervishi
Granit Dervishi is a Student in an Organized Health Care Education/Training Program in Richmond, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.
- Licensed in
- KY
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
401 Highland Park DrRichmond, KY 40475-3839
Phone: (859) 626-7700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 10902 (KY) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1790429132 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 22, 2022 |
| Last updated in NPPES | July 23, 2024 |
| Certification date | July 23, 2024 |
| Mailing address | 401 Highland Park Dr, Richmond, KY 40475-3839 |
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