PERIOIMPLANT ASSOCIATES, PSC

LOUISVILLE, KY
NPI1720009061
Entity TypeOrganization
Authorized ContactDEBBIE L. CLARK
Office Manager
502-897-9417
Organization Subpart ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: KY  4036)
Additional Taxonomies1223P0300X Dentist, Periodontics
(Licence: IN  8228)
1223P0300X Dentist, Periodontics
(Licence: KY  5446)
1223P0300X Dentist, Periodontics
(Licence: IN  8270)
1223P0300X Dentist, Periodontics
(Licence: KY  8517)
1223P0300X Dentist, Periodontics
(Licence: IN  12011213A)
Enumeration Date2006-07-22
Last Update Date2010-08-04
Business Address
PERIOIMPLANT ASSOCIATES, PSC
4010 DUPONT CIR SUITE 524
LOUISVILLE, KY 40207-4812
Phone number: 502-897-9417
Mailing Address
PERIOIMPLANT ASSOCIATES, PSC
4010 DUPONT CIR SUITE 524
LOUISVILLE, KY 40207-4812
Phone number: 502-897-9417