MORTENSON FAMILY DENTAL CENTER-FLORENCE,PLLC

FLORENCE, KY
NPI1265605299
Entity TypeOrganization
Authorized ContactOWEN WAYNE MORTENSON
Owner
859-525-7586
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2008-04-10
Last Update Date2008-04-10
Business Address
MORTENSON FAMILY DENTAL CENTER-FLORENCE,PLLC
7033 BURLINGTON PIKE STE 01
FLORENCE, KY 41042-5150
Phone number: 859-525-7586
Mailing Address
MORTENSON FAMILY DENTAL CENTER-FLORENCE,PLLC
PO BOX 437169
LOUISVILLE, KY 40253-7169
Phone number:
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