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Organization
PADDOCK DENTAL
Active
Organization
PADDOCK DENTAL
Active
Parent organization
PADDOCK DENTAL
Other names
Pearl Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
PADDOCK DENTAL
Authorized official
ANGELA F LAIACONO (FRONT DESK)
(502) 451-2212
Entity
Organization
Contact information
Practice address
3002 BARDSTOWN RD, LOUISVILLE, KY 40205-3020
(502) 451-2212
(502) 456-0849
Mailing address
3002 BARDSTOWN RD, LOUISVILLE, KY 40205-3020
(502) 451-2212
(502) 456-0849
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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