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Organization
MARKET STREET DENTURE CENTERLLC
Active
Organization
MARKET STREET DENTURE CENTERLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HENRY JESSIE CDT (CO-OWNER)
(502) 905-0026
Entity
Organization
Contact information
Practice address
2410 W MARKET ST, LOUISVILLE, KY 40212-1539
(502) 778-5141
(502) 772-7298
Mailing address
2410 W MARKET ST, LOUISVILLE, KY 40212-1539
(502) 778-5141
(502) 772-7298
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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