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1306306253
TDS KY TWO
LOUISVILLE, KY
NPI
1306306253
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Entity Type
Organization
Authorized Contact
ADRIENNE NICHOLSON
Regional Manager
812-569-2955
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2019-03-25
Last Update Date
2020-06-10
Business Address
TDS KY TWO
5141 DIXIE HWY STE 101
LOUISVILLE, KY 40216-1765
Phone number: 502-449-2733
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Mailing Address
TDS KY TWO
5141 DIXIE HWY STE 101
LOUISVILLE, KY 40216-1765
Phone number: 502-449-2733
Copy
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