Organization
DRS. GRAHAM AND FORTUNE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMMY ELIZABETH GRAHAM-FORTUNE DMD (DENTIST)
(502) 267-8176
Entity
Organization
Contact information
Practice address
9001 GALENE DR, LOUISVILLE, KY 40299-1521
(502) 267-8176
(502) 267-8177
Mailing address
9001 GALENE DR, LOUISVILLE, KY 40299-1521
(502) 267-8176
(502) 267-8177
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
KY
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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