.MORTENSON FAMILY DENTAL CENTER

LOUISVILLE, KY
NPI1720155591
Entity TypeOrganization
Authorized ContactOWEN WAYNE MORTENSON
Dentist Owner
502-245-8627
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2006-11-29
Last Update Date2020-08-22
Business Address
.MORTENSON FAMILY DENTAL CENTER
4801 OUTER LOOP
LOUISVILLE, KY 40219-3201
Phone number: 502-966-8638
Mailing Address
.MORTENSON FAMILY DENTAL CENTER
PO BOX 437169
LOUISVILLE, KY 40253-7169
Phone number: 502-245-7103
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