Organization
DUPONT PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNA SCHULTEN DMD (PEDIATRIC DENTIST)
(270) 789-7890
Entity
Organization
Contact information
Practice address
3934 DUTCHMANS LN, LOUISVILLE, KY 40207-4702
(502) 897-0625
Mailing address
3934 DUTCHMANS LN, LOUISVILLE, KY 40207-4702
(502) 897-0625
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
8868
KY
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
03/07/2014
Last updated
07/06/2022
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