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Organization
HOMETOWN FAMILY DENTAL
Active
Organization
HOMETOWN FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY JEAN VENOY (OFFICE MANAGER)
(502) 896-1032
Entity
Organization
Contact information
Practice address
4122 SHELBYVILLE RD STE C, LOUISVILLE, KY 40207-3212
(502) 896-1032
Mailing address
4122 SHELBYVILLE RD STE C, LOUISVILLE, KY 40207-3212
(502) 896-1032
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/10/2019
Last updated
02/10/2019
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