BLYSTONE DENTAL PLLC

LOUISVILLE, KY
NPI1104675875
Entity TypeOrganization
Authorized ContactAILEY BLYSTONE
Practice Owner
270-234-7624
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2024-05-15
Last Update Date2024-05-15
Business Address
BLYSTONE DENTAL PLLC
642 BAXTER AVE STE 110
LOUISVILLE, KY 40204-1795
Phone number: 502-208-9385
Mailing Address
BLYSTONE DENTAL PLLC
102 KENTUCKY OAKS TRL
ELIZABETHTOWN, KY 42701-4483
Phone number: 270-234-7624