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1952312118
MORTENSON FAMILY DENTAL CENTER - SHELBYVILLE PLLC
SHELBYVILLE, KY
NPI
1952312118
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Entity Type
Organization
Authorized Contact
STEPHEN JAMES
CFO
502-254-8504
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2006-08-11
Last Update Date
2014-08-18
Business Address
MORTENSON FAMILY DENTAL CENTER - SHELBYVILLE PLLC
130 STONECREST RD SUITE 101
SHELBYVILLE, KY 40065-8126
Phone number: 502-633-1584
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Mailing Address
MORTENSON FAMILY DENTAL CENTER - SHELBYVILLE PLLC
PO BOX 437169
LOUISVILLE, KY 40253-7169
Phone number: 502-254-8501
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