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Organization
PERIODONTAL CARE & IMPLANT CENTER
Active
Organization
PERIODONTAL CARE & IMPLANT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA KAYE CORBIT (OFFICE MANAGER)
(502) 499-6171
Entity
Organization
Contact information
Practice address
3409 STONY SPRING CIR, LOUISVILLE, KY 40220-5433
(502) 499-6171
(502) 499-9980
Mailing address
3409 STONY SPRING CIR, LOUISVILLE, KY 40220-5433
(502) 499-6171
(502) 499-9980
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6418
KY
Other
Enumeration date
07/17/2006
Last updated
08/22/2020
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