Individual
PETER FRANK ALENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
501 S PRESTON ST RM 148, LOUISVILLE, KY 40202-1701
(502) 852-5838
Mailing address
925 ARDMORE DR, LOUISVILLE, KY 40217-2338
(770) 401-5541
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10092
KY
390200000X
Student in an Organized Health Care Education/Training Program
10092
KY
Other
Enumeration date
05/30/2018
Last updated
10/04/2018
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