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Individual

DR. KORIE DUNHOFT ACORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
2120 HIGH WICKHAM PL, SUITE 103, LOUISVILLE, KY 40245-5902
(502) 254-6097
(502) 254-6098
Mailing address
2120 HIGH WICKHAM PL, SUITE 103, LOUISVILLE, KY 40245-5902
(502) 254-6097
(502) 254-6098

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
8585
KY
1223G0001X
General Practice Dentistry
G1-1219
DE
1223P0221X
Pediatric Dentistry
Primary
859
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000040655
DE
05
7100131700
KY
Enumeration date
11/15/2006
Last updated
03/04/2011
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