TDS KY FOUR, LLC

LOUISVILLE, KY
NPI1164065488
Entity TypeOrganization
Authorized ContactADRIENNE NICHOLSON
Regional Manager
812-569-2955
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2019-10-18
Last Update Date2023-11-27
Business Address
TDS KY FOUR, LLC
8511 TERRY RD
LOUISVILLE, KY 40258-1751
Phone number: 812-569-2955
Mailing Address
TDS KY FOUR, LLC
8511 TERRY RD
LOUISVILLE, KY 40258-1751
Phone number:
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