Organization
SOUTHERN ROOTS PERIO HIGHLAND HEIGHTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAITLIN BRUCE (OFFICE MANAGER)
(513) 348-4151
Entity
Organization
Contact information
Practice address
201 MARTHA LAYNE COLLINS BLVD STE B, COLD SPRING, KY 41076-1750
(859) 441-4805
Mailing address
8136 MALL RD, FLORENCE, KY 41042-1414
(859) 371-6543
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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