PERIODONTIC & ENDODONTIC SERVICES-JEFFERSON MALL, PLLC

LOUISVILLE, KY
NPI1578853982
Entity TypeOrganization
Authorized ContactSTEVE JAMES
CFO
502-254-8504
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2011-04-19
Last Update Date2011-04-19
Business Address
PERIODONTIC & ENDODONTIC SERVICES-JEFFERSON MALL, PLLC
5100 OUTER LOOP STE B
LOUISVILLE, KY 40219-4056
Phone number: 502-966-8660
Mailing Address
PERIODONTIC & ENDODONTIC SERVICES-JEFFERSON MALL, PLLC
PO BOX 437169
LOUISVILLE, KY 40253-7169
Phone number:
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