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1760920805
MORTENSON FAMILY DENTAL CENTER - INDEPENDENCE, LLC
INDEPENDENCE, KY
NPI
1760920805
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Entity Type
Organization
Authorized Contact
JEFF REIBEL
CFO
502-254-8500
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2017-02-09
Last Update Date
2023-09-05
Business Address
MORTENSON FAMILY DENTAL CENTER - INDEPENDENCE, LLC
2052 HARRIS PIKE
INDEPENDENCE, KY 41051-7783
Phone number: 859-898-2255
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Mailing Address
MORTENSON FAMILY DENTAL CENTER - INDEPENDENCE, LLC
2052 HARRIS PIKE
INDEPENDENCE, KY 41051-7783
Phone number: 859-898-2255
Copy
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