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Organization
CALISU 3, PLLC
Active
Organization
CALISU 3, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA F LAIACONO (FRONT DESK)
(502) 451-2212
Entity
Organization
Contact information
Practice address
5912 BARDSTOWN RD, LOUISVILLE, KY 40291-1957
(502) 239-0881
(502) 239-0887
Mailing address
5912 BARDSTOWN RD, LOUISVILLE, KY 40291-1957
(502) 239-0881
(502) 239-0887
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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