MARKET ST DENTAL OFFICE PSC

LOUISVILLE, KY
NPI1477605426
Entity TypeOrganization
Authorized ContactRODNEY BRENT FULTZ
Sec Treas
502-778-5141
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2007-01-18
Last Update Date2007-12-18
Business Address
MARKET ST DENTAL OFFICE PSC
2410 WEST MARKET ST
LOUISVILLE, KY 40212
Phone number: 502-778-5141
Mailing Address
MARKET ST DENTAL OFFICE PSC
2410 WEST MARKET ST
LOUISVILLE, KY 40212
Phone number: 502-778-5141
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