Organization
W BRUCE COMBEST PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BRUCE COMBEST DMD (DOCTOR PRESIDENT)
(859) 986-4661
Entity
Organization
Contact information
Practice address
402 RICHMOND RD, SUITE C, BEREA, KY 40403
(859) 986-4661
(859) 986-3579
Mailing address
402 RICHMOND RD, SUITE C, BEREA, KY 40403
(859) 986-4661
(859) 986-3579
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4573
KY
124Q00000X
Dental Hygienist
615
KY
Other
Enumeration date
11/28/2006
Last updated
06/13/2013
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