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Organization

DERBY CITY PEDIATRIC DENTISTRY, PLLC

Active
Other names
Derby City Pediatric Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KORIE DUNHOFT ACORD DMD (OWNER, PEDIATRIC DENTIST)
(502) 254-6097
Entity
Organization

Contact information

Practice address
2120 HIGH WICKHAM PL STE 103, LOUISVILLE, KY 40245-5903
(502) 254-6097
(502) 254-6098
Mailing address
2120 HIGH WICKHAM PL STE 103, LOUISVILLE, KY 40245-5903
(502) 254-6097
(502) 254-6098

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
02/05/2020
Last updated
02/05/2020
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