Organization
JOSEPH H. CIESLAK DDS, PLLC
Active
Other names
Louisville Oral Surgery & Dental Implants
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH HAROLD CIESLAK DDS (OWNER)
(502) 939-2500
Entity
Organization
Contact information
Practice address
6501 DIXIE HWY, LOUISVILLE, KY 40258-3907
(502) 937-2500
Mailing address
6501 DIXIE HWY, LOUISVILLE, KY 40258-3907
(502) 937-2500
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
585
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74070386
—
KY
Enumeration date
10/09/2008
Last updated
10/09/2008
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