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1447458070
MORTENSON FAMILY DENTAL CTR-JEFFERSONVILLE
JEFFERSONVILLE, IN
NPI
1447458070
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Entity Type
Organization
Authorized Contact
OWEN WAYNE MORTENSON
Owner Provider
502-245-8627
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2007-07-05
Last Update Date
2020-08-22
Business Address
MORTENSON FAMILY DENTAL CTR-JEFFERSONVILLE
2917 HWY 62
JEFFERSONVILLE, IN 47130
Phone number: 812-288-1000
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Mailing Address
MORTENSON FAMILY DENTAL CTR-JEFFERSONVILLE
134 N EVERGREEN RD SUITE 102
MIDDLETOWN, KY 40243-1487
Phone number: 502-245-7103
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