Organization
LEBANON JUNCTION DENTAL CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN JAMES (CFO)
(502) 254-8504
Entity
Organization
Contact information
Practice address
11737 S PRESTON HWY, LEBANON JUNCTION, KY 40150-8420
(502) 833-4664
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4935
KY
Other
Enumeration date
02/08/2012
Last updated
03/09/2012
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