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1245347640
MATTHEW MORTENSON
LOUISVILLE, KY
NPI
1245347640
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: KY 8234)
Enumeration Date
2006-08-23
Last Update Date
2007-07-08
Business Address
-- MATTHEW MORTENSON DMD
5222 DIXIE HWY
LOUISVILLE, KY 40216-1704
Phone number: 502-449-7995
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Mailing Address
-- MATTHEW MORTENSON DMD
11708 MAIN ST
MIDDLETOWN, KY 40243-1426
Phone number: 502-245-8627
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