MORTENSON FAMILY DENTAL CENTER-DUPONT,PLLC

LOUISVILLE, KY
NPI1457626095
Entity TypeOrganization
Authorized ContactJEFF REIBEL
CFO
502-254-8526
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2012-03-15
Last Update Date2022-06-20
Business Address
MORTENSON FAMILY DENTAL CENTER-DUPONT,PLLC
3946 TAYLORSVILLE RD
LOUISVILLE, KY 40220-1450
Phone number: 502-895-2218
Mailing Address
MORTENSON FAMILY DENTAL CENTER-DUPONT,PLLC
PO BOX 437169
LOUISVILLE, KY 40253-7169
Phone number:
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