Organization
PRESTON HIGHWAY ORAL SURGERY PLLC
Active
Other names
Derby City Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
GINA ABROTSKY (CREDENTIALING SPECIALIST)
(720) 603-4788
Entity
Organization
Contact information
Practice address
8516 PRESTON HWY, LOUISVILLE, KY 40219-5302
(502) 969-2523
Mailing address
8516 PRESTON HWY, LOUISVILLE, KY 40219-5302
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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