Organization
3RD STREET FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY DEGRAAFF (PRESIDENT)
(502) 368-5575
Entity
Organization
Contact information
Practice address
3911 S 3RD ST, LOUISVILLE, KY 40214-1601
(502) 368-5575
(502) 368-5596
Mailing address
3911 S 3RD ST, LOUISVILLE, KY 40214-1601
(502) 368-5575
(502) 368-5596
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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