KENTUCKIANA ORAL & MAXILLOFACIAL SURGERY ASSOC PSC

LOUISVILLE, KY
NPI1396737011
Entity TypeOrganization
Authorized ContactNATHAN F WALTERS
President
502-454-4885
Organization Subpart ?No
Primary Taxonomy1223S0112X Dentist Oral and Maxillofacial Surgery
Additional Taxonomies122300000X Dentist
204E00000X Oral & Maxillofacial Surgery
Enumeration Date2005-08-18
Last Update Date2018-02-06
Business Address
KENTUCKIANA ORAL & MAXILLOFACIAL SURGERY ASSOC PSC
2800 CANNONS LN STE 200
LOUISVILLE, KY 40205
Phone number: 502-454-4885
Mailing Address
KENTUCKIANA ORAL & MAXILLOFACIAL SURGERY ASSOC PSC
2800 CANNONS LN STE 200
LOUISVILLE, KY 40205
Phone number: 502-454-4885