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1639357502
KIDS DENTISTRY-JEFFERSON MALL,PLLC
LOUISVILLE, KY
NPI
1639357502
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Entity Type
Organization
Authorized Contact
STEVE JAMES
COO
502-254-8504
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2008-02-04
Last Update Date
2011-01-19
Business Address
KIDS DENTISTRY-JEFFERSON MALL,PLLC
5100 OUTER LOOP SUITE C
LOUISVILLE, KY 40219-4056
Phone number: 502-969-9266
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Mailing Address
KIDS DENTISTRY-JEFFERSON MALL,PLLC
PO BOX 437169
LOUISVILLE, KY 40253-7169
Phone number:
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