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Organization

OLD LOUISVILLE DENTAL CENTRE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE ELIZABETH FAETH (OFFICE MANAGER)
(502) 718-1226
Entity
Organization

Contact information

Practice address
1504 S 7TH ST, LOUISVILLE, KY 40208-1711
(502) 636-5492
(502) 636-9210
Mailing address
1504 S 7TH ST, LOUISVILLE, KY 40208-1711
(502) 636-5492
(502) 636-9210

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
08/19/2020
Last updated
08/19/2020
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