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1720155591
.MORTENSON FAMILY DENTAL CENTER
LOUISVILLE, KY
NPI
1720155591
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Entity Type
Organization
Authorized Contact
OWEN WAYNE MORTENSON
Dentist Owner
502-245-8627
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2006-11-29
Last Update Date
2020-08-22
Business Address
.MORTENSON FAMILY DENTAL CENTER
4801 OUTER LOOP
LOUISVILLE, KY 40219-3201
Phone number: 502-966-8638
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Mailing Address
.MORTENSON FAMILY DENTAL CENTER
PO BOX 437169
LOUISVILLE, KY 40253-7169
Phone number: 502-245-7103
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