Organization · Type 2 NPI

Heritage Dental Center - Mall RD LLC

Dental Clinic/Center · Florence, KY

NPI number 1891558508 Active

Practice location

8197 Mall Rd
Florence, KY 41042-3428

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1891558508

Heritage Dental Center - Mall RD LLC's National Provider Identifier is 1891558508, issued on Feb 5, 2024. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Florence, KY. The record was last updated on Feb 5, 2024.