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1073925715
MORTENSON FAMILY DENTAL CENTER - ELIZABETHTOWN NORTH, PLLC
ELIZABETHTOWN, KY
NPI
1073925715
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Entity Type
Organization
Authorized Contact
STEVE JAMES
CFO
502-254-8504
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2014-05-29
Last Update Date
2014-05-29
Business Address
MORTENSON FAMILY DENTAL CENTER - ELIZABETHTOWN NORTH, PLLC
2110 N DIXIE HWY
ELIZABETHTOWN, KY 42701-8811
Phone number: 270-982-4433
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Mailing Address
MORTENSON FAMILY DENTAL CENTER - ELIZABETHTOWN NORTH, PLLC
PO BOX 437169
LOUISVILLE, KY 40253-7169
Phone number: 502-254-8500
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