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Organization

TRI COUNTY DENTAL CLINIC PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRAVIS COLEMAN COLEMAN DDS (OWNER)
(606) 528-7730
Entity
Organization

Contact information

Practice address
1001 CUMBERLAND FALLS HWY STE 2, CORBIN, KY 40701-2742
(606) 528-7730
Mailing address
1001 CUMBERLAND FALLS HWY STE 2, CORBIN, KY 40701-2742

Taxonomy

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

Other

Enumeration date
12/07/2023
Last updated
12/11/2023
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