| NPI | 1457626095 |
|---|---|
| Doing Business As | MORTENSON FAMILY DENTAL CENTER - HIKES POINT |
| Entity Type | Organization |
| Authorized Contact | JEFF REIBEL CFO 502-254-8526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2022-06-20 |