Organization
PERIMETER PERIODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN C. CLEMENS DDS, MS (OWNER/DENTIST)
(859) 268-1596
Entity
Organization
Contact information
Practice address
620 PERIMETER DR, STE 103, LEXINGTON, KY 40517-4125
(859) 268-1596
(859) 977-7376
Mailing address
620 PERIMETER DR, STE 103, LEXINGTON, KY 40517-4125
(859) 268-1596
(859) 977-7376
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
8167
KY
Other
Enumeration date
03/15/2011
Last updated
04/07/2011
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