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Organization
PRESTON HIGHWAY ORAL SURGERY PLLC
Active
Organization
PRESTON HIGHWAY ORAL SURGERY PLLC
Active
Other names
Derby City Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
GINA ABROTSKY (CREDENTIALING SPECIALIST)
(720) 603-4788
Entity
Organization
Contact information
Practice address
8516 PRESTON HWY, LOUISVILLE, KY 40219-5302
(502) 969-2523
Mailing address
8516 PRESTON HWY, LOUISVILLE, KY 40219-5302
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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