KIDS DENTISTRY-JEFFERSON MALL,PLLC

LOUISVILLE, KY
NPI1639357502
Entity TypeOrganization
Authorized ContactSTEVE JAMES
COO
502-254-8504
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2008-02-04
Last Update Date2011-01-19
Business Address
KIDS DENTISTRY-JEFFERSON MALL,PLLC
5100 OUTER LOOP SUITE C
LOUISVILLE, KY 40219-4056
Phone number: 502-969-9266
Mailing Address
KIDS DENTISTRY-JEFFERSON MALL,PLLC
PO BOX 437169
LOUISVILLE, KY 40253-7169
Phone number: