MORTENSON FAMILY DENTAL

LOUISVILLE, KY
NPI1790897882
Entity TypeOrganization
Authorized ContactOWEN WAYNE MORTENSON
Gen. Dentist/Owner
502-636-0311
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2006-08-31
Last Update Date2020-08-22
Business Address
MORTENSON FAMILY DENTAL
1430 POPLAR LEVEL RD
LOUISVILLE, KY 40217-1345
Phone number: 502-636-0311
Mailing Address
MORTENSON FAMILY DENTAL
134 N EVERGREEN RD
MIDDLETOWN, KY 40243-1487
Phone number: 502-245-7103
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