Organization
MORTENSON FAMILY DENTAL CENTER-ELIZABETHTOWN,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE C JAMES (COO)
(502) 254-8504
Entity
Organization
Contact information
Practice address
2407 RING RD, SUITE 137, ELIZABETHTOWN, KY 42701-5937
(270) 360-0480
(270) 360-0490
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/28/2008
Last updated
08/06/2008
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