Organization
DENTAL SERVICES OF LOUISVILLE, PSC
Active
Other names
ImmediaDent
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN E KLOBOVES DDS (PC PRESIDENT)
(502) 452-1886
Entity
Organization
Contact information
Practice address
2245 HIKES LN, LOUISVILLE, KY 40218-2203
(502) 452-1886
(502) 452-1955
Mailing address
2245 HIKES LN, LOUISVILLE, KY 40218-2203
(502) 452-1886
(502) 452-1955
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010746A
IN
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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