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Organization

COMMONWEALTH DENTAL, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN ROBERT FOOTE JR. DMD (DENTIST)
(859) 283-1911
Entity
Organization

Contact information

Practice address
7348 US HIGHWAY 42 STE 101, FLORENCE, KY 41042-1965
(859) 283-1911
(859) 283-2218
Mailing address
7348 US HIGHWAY 42 STE 101, FLORENCE, KY 41042-1965
(859) 283-1911
(859) 283-2218

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
04/14/2010
Last updated
04/14/2010
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