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1205215738
JEFFERSONTOWN DENTAL LLC
LOUISVILLE, KY
NPI
1205215738
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Entity Type
Organization
Authorized Contact
CHRISTOPHER LENEAVE
Owner
502-499-9999
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: KY 6641)
Enumeration Date
2015-05-29
Last Update Date
2015-05-29
Business Address
JEFFERSONTOWN DENTAL LLC
3000 BRECKENRIDGE LN
LOUISVILLE, KY 40220-2130
Phone number: 502-499-9999
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Mailing Address
JEFFERSONTOWN DENTAL LLC
3000 BRECKENRIDGE LN
LOUISVILLE, KY 40220-2130
Phone number: 502-499-9999
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