Organization
MORTENSON FAMILY DENTAL CENTER-DUPONT,PLLC
Active
Other names
Mortenson Family Dental Center - Hikes Point
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF REIBEL (CFO)
(502) 254-8526
Entity
Organization
Contact information
Practice address
3946 TAYLORSVILLE RD, LOUISVILLE, KY 40220-1450
(502) 895-2218
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2012
Last updated
06/20/2022
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