Organization
MORTENSON FAMILY DENTAL CENTER - DIXIE AT ROCKFORD LANE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN JAMES (CFO)
(502) 254-8500
Entity
Organization
Contact information
Practice address
4740 DIXIE HWY, LOUISVILLE, KY 40216-2656
(502) 447-8992
Mailing address
4740 DIXIE HWY, LOUISVILLE, KY 40216-2656
(502) 447-8992
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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