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Organization
SOUTH LOUISVILLE DENTAL SPECIALISTS INC
Active
Organization
SOUTH LOUISVILLE DENTAL SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTHUR L. WICKSON D.M.D. (CO-OWNER)
(502) 361-8988
Entity
Organization
Contact information
Practice address
4825 S 3RD ST, LOUISVILLE, KY 40214-2152
(502) 361-8988
(502) 361-8230
Mailing address
4825 S 3RD ST, LOUISVILLE, KY 40214-2152
(502) 361-8988
(502) 361-8230
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/14/2005
Last updated
02/19/2014
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