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1376655498
MORTENSON FAMILY DENTAL
LOUISVILLE, KY
NPI
1376655498
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Entity Type
Organization
Authorized Contact
OWEN WAYNE MORTENSON
Gen Dentist/Owner
502-245-8627
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2006-08-31
Last Update Date
2020-08-22
Business Address
MORTENSON FAMILY DENTAL
5222 DIXIE HWY
LOUISVILLE, KY 40216-1704
Phone number: 502-449-7995
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Mailing Address
MORTENSON FAMILY DENTAL
134 N EVERGREEN RD
LOUISVILLE, KY 40243-1487
Phone number: 502-245-7103
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