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Organization

LORD FAMILY DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GREGORY LORD (OWNER/DENTIST)
(502) 267-4141
Entity
Organization

Contact information

Practice address
3841 RUCKRIEGEL PKWY STE 100, LOUISVILLE, KY 40299-3986
(502) 267-4141
(502) 267-5952
Mailing address
3841 RUCKRIEGEL PKWY STE 100, LOUISVILLE, KY 40299-3986
(502) 267-4141
(502) 267-5952

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7950
KY

Other

Enumeration date
01/26/2016
Last updated
01/26/2016
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