Individual
DR. DAVID L SHORTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
9480 BROWNSBORO RD, LOUISVILLE, KY 40241-1118
(502) 423-9103
Mailing address
5911 WORTHINGTON WAY, PROSPECT, KY 40059-8553
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
KY6052
KY
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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