MATTHEW MORTENSON

LOUISVILLE, KY
NPI1245347640
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: KY  8234)
Enumeration Date2006-08-23
Last Update Date2007-07-08
Business Address
MATTHEW MORTENSON DMD
5222 DIXIE HWY
LOUISVILLE, KY 40216-1704
Phone number: 502-449-7995
Mailing Address
MATTHEW MORTENSON DMD
11708 MAIN ST
MIDDLETOWN, KY 40243-1426
Phone number: 502-245-8627
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