DIXIE DENTAL CENTER PSC

LOUISVILLE, KY
NPI1962552042
Entity TypeOrganization
Authorized ContactRODNEY BRENT FULTZ
Sec Treas
502-778-7414
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2007-01-11
Last Update Date2007-12-18
Business Address
DIXIE DENTAL CENTER PSC
1480 DIXIE HWY
LOUISVILLE, KY 40210
Phone number: 502-778-7414
Mailing Address
DIXIE DENTAL CENTER PSC
1480 DIXIE HWY
LOUISVILLE, KY 40210
Phone number: 502-778-7414
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