MORTENSON FAMILY DENTAL CENTER-ELIZABETHTOWN,PLLC

ELIZABETHTOWN, KY
NPI1033374228
Entity TypeOrganization
Authorized ContactSTEVE C JAMES
COO
502-254-8504
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2008-07-28
Last Update Date2008-08-06
Business Address
MORTENSON FAMILY DENTAL CENTER-ELIZABETHTOWN,PLLC
2407 RING RD SUITE 137
ELIZABETHTOWN, KY 42701-5937
Phone number: 270-360-0480
Mailing Address
MORTENSON FAMILY DENTAL CENTER-ELIZABETHTOWN,PLLC
PO BOX 437169
LOUISVILLE, KY 40253-7169
Phone number: