MODERN KIDS DENTISTRY OF LOUISVILLE, PLLC

LOUISVILLE, KY
NPI1104646983
Entity TypeOrganization
Authorized ContactJUSTIN M RAYBOULD
Owner
859-321-7051
Organization Subpart ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
Enumeration Date2024-10-15
Last Update Date2024-10-15
Business Address
MODERN KIDS DENTISTRY OF LOUISVILLE, PLLC
129 EVERGREEN RD
LOUISVILLE, KY 40243-2426
Phone number: 502-245-8855
Mailing Address
MODERN KIDS DENTISTRY OF LOUISVILLE, PLLC
129 EVERGREEN RD
LOUISVILLE, KY 40243-2426
Phone number: 502-245-8855
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