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Organization

OXMOOR DENTAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NADER EHSANI D.M.D. (OWNER)
(502) 412-1475
Entity
Organization

Contact information

Practice address
105 LYNDON LN STE 104, LOUISVILLE, KY 40222-5550
(502) 412-2475
(502) 326-7900
Mailing address
105 LYNDON LN STE 104, LOUISVILLE, KY 40222-5550
(502) 412-2475
(502) 326-7900

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8081
KY

Other

Enumeration date
04/27/2009
Last updated
04/27/2009
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