TDS KY FIVE

LOUISVILLE, KY
NPI1013532415
Entity TypeOrganization
Authorized ContactADRIENNE NICHOLSON
Regional Manager
812-569-2955
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2020-06-11
Last Update Date2020-06-11
Business Address
TDS KY FIVE
156 THIERMAN LN
LOUISVILLE, KY 40207-5010
Phone number: 502-896-2822
Mailing Address
TDS KY FIVE
156 THIERMAN LN
LOUISVILLE, KY 40207-5010
Phone number:
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