Organization
JUSTICE DENTAL VERSAILLES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MANGES (OFFICE MANAGER)
(859) 873-5913
Entity
Organization
Contact information
Practice address
360 AMSDEN AVE STE 400, VERSAILLES, KY 40383-1855
(859) 873-5913
Mailing address
360 AMSDEN AVE STE 400, VERSAILLES, KY 40383-1855
(859) 873-5913
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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