MORTENSON FAMILY DENTAL CENTER - SHELBYVILLE PLLC

SHELBYVILLE, KY
NPI1952312118
Entity TypeOrganization
Authorized ContactSTEPHEN JAMES
CFO
502-254-8504
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2006-08-11
Last Update Date2014-08-18
Business Address
MORTENSON FAMILY DENTAL CENTER - SHELBYVILLE PLLC
130 STONECREST RD SUITE 101
SHELBYVILLE, KY 40065-8126
Phone number: 502-633-1584
Mailing Address
MORTENSON FAMILY DENTAL CENTER - SHELBYVILLE PLLC
PO BOX 437169
LOUISVILLE, KY 40253-7169
Phone number: 502-254-8501