# GERLACH FAMILY DENTISTRY PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043447014
- **Authorized official:** MRS. AMANDA BISCH (ADMINISTRATION)
- **Authorized official phone:** (502) 368-5529

## Contact information

- **Practice address:** 210 W WOODLAWN AVE, LOUISVILLE, KY 40214-1922
- **Practice address phone:** (502) 368-5529
- **Practice address fax:** (502) 368-9883
- **Mailing address:** 210 W WOODLAWN AVE, LOUISVILLE, KY 40214-1922
- **Mailing address phone:** (502) 368-5529
- **Mailing address fax:** (502) 368-9883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/17/2009
- **Last updated:** 06/17/2009
