Individual
EDUARDO ANTUNES BORTOLUZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSC, PHD
Contact information
Practice address
501 S PRESTON ST, LOUISVILLE, KY 40202-1701
(502) 852-5096
Mailing address
6324 MEETING ST APT 446, PROSPECT, KY 40059-8718
(502) 701-2822
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
10563
KY
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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