Organization
THE CENTER FOR AESTHETIC & IMPLANT DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN T. HARRIS DMD (OWNER)
(502) 403-0686
Entity
Organization
Contact information
Practice address
12010 SHELBYVILLE RD STE 100, LOUISVILLE, KY 40243-1095
(502) 589-4671
(502) 589-6584
Mailing address
12010 SHELBYVILLE RD STE 100, LOUISVILLE, KY 40243-1095
(502) 589-4671
(502) 589-6584
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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