Organization
ENDODONTICS-IROQUOIS PARK, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN JAMES (COO)
(502) 254-8504
Entity
Organization
Contact information
Practice address
911 PALATKA RD, LOUISVILLE, KY 40214-3461
(502) 366-2448
(502) 366-3551
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2009
Last updated
03/03/2009
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