JEFFERSONVILLE PEDIATRIC DENTISTRY LLC

JEFFERSONVILLE, IN
NPI1548917982
Entity TypeOrganization
Authorized ContactPORCHUSA LARAI COMBS
Pediatric Dentist
502-994-0389
Organization Subpart ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
Enumeration Date2022-03-06
Last Update Date2022-03-06
Business Address
JEFFERSONVILLE PEDIATRIC DENTISTRY LLC
2929 CHARLESTOWN PIKE
JEFFERSONVILLE, IN 47130-8199
Phone number: 502-994-0389
Mailing Address
JEFFERSONVILLE PEDIATRIC DENTISTRY LLC
702 PARK CREEK CIR
LOUISVILLE, KY 40245-6241
Phone number: 502-994-0389
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