NPI | 1245481175 |
---|---|
Doing Business As | LOUISVILLE ORAL SURGERY & DENTAL IMPLANTS |
Entity Type | Organization |
Authorized Contact | JOSEPH HAROLD CIESLAK Owner 502-939-2500 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: KY 585) |
Enumeration Date | 2008-10-09 |
Last Update Date | 2008-10-09 |