MORTENSON FAMILY DENTAL CTR-JEFFERSONVILLE

JEFFERSONVILLE, IN
NPI1447458070
Entity TypeOrganization
Authorized ContactOWEN WAYNE MORTENSON
Owner Provider
502-245-8627
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2007-07-05
Last Update Date2020-08-22
Business Address
MORTENSON FAMILY DENTAL CTR-JEFFERSONVILLE
2917 HWY 62
JEFFERSONVILLE, IN 47130
Phone number: 812-288-1000
Mailing Address
MORTENSON FAMILY DENTAL CTR-JEFFERSONVILLE
134 N EVERGREEN RD SUITE 102
MIDDLETOWN, KY 40243-1487
Phone number: 502-245-7103