Organization
KIDS DENTISTREE - WESTPORT VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE JAMES (CFO)
(502) 254-8504
Entity
Organization
Contact information
Practice address
1106 LYNDON LN, LOUISVILLE, KY 40222-4318
(502) 254-6075
(502) 333-9750
Mailing address
1106 LYNDON LN, LOUISVILLE, KY 40222-4318
(502) 254-6075
(502) 333-9750
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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