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Organization
UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION INC
Active
Organization
UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION INC
Active
Other names
Children and Youth Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LEE ANN MINGUS CPC (INSURANCE BILLING MANAGER)
(502) 852-5588
Entity
Organization
Contact information
Practice address
555 S FLOYD ST, LOUISVILLE, KY 40202-3822
(502) 852-5588
(502) 852-5630
Mailing address
555 S FLOYD ST, LOUISVILLE, KY 40202-3822
(502) 852-5588
(502) 852-5630
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45659976
—
KY
Enumeration date
07/29/2009
Last updated
09/02/2011
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