| NPI | 1942932694 |
|---|---|
| Doing Business As | PEDIATRIC DENTAL GROUP OF LOUISVILLE |
| Entity Type | Organization |
| Authorized Contact | REGINA KURTZ Office Manager 502-327-6380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2022-06-29 |