Organization
PERELMUTER & GOLDBERG ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA HARP (DIRECTOR REVENUE CYCLE OPERATIONS)
(615) 942-0204
Entity
Organization
Contact information
Practice address
916 DUPONT RD, LOUISVILLE, KY 40207-4662
(502) 897-1112
Mailing address
5300 MARYLAND WAY STE 202, BRENTWOOD, TN 37027-5074
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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