Organization
JEFFERSONTOWN DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER LENEAVE DDS (OWNER)
(502) 499-9999
Entity
Organization
Contact information
Practice address
3000 BRECKENRIDGE LN, LOUISVILLE, KY 40220-2130
(502) 499-9999
(502) 459-4566
Mailing address
3000 BRECKENRIDGE LN, LOUISVILLE, KY 40220-2130
(502) 499-9999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6641
KY
Other
Enumeration date
05/29/2015
Last updated
05/29/2015
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