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Organization

PARK HILLS FAMILY DENTISTRY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GLENN SUTHERLAND (PRESIDENT)
(859) 273-5020
Entity
Organization

Contact information

Practice address
3140 PIMLICO PKWY STE 105, LEXINGTON, KY 40517-4007
(859) 273-5020
Mailing address
3140 PIMLICO PKWY STE 105, LEXINGTON, KY 40517-4007

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5455
KY

Other

Enumeration date
11/17/2007
Last updated
11/17/2007
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