| NPI | 1215193974 |
|---|---|
| Doing Business As | LOUISVILLE ORAL SURGERY & DENTAL IMPLANTS |
| Entity Type | Organization |
| Authorized Contact | JOSEPH H CIESLAK Owner 502-231-2230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: 7038) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: KY 7038) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2016-08-02 |