Organization
METRO DENTAL GROUP, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN VON ROENN DMD (PARTNER)
(502) 584-1322
Entity
Organization
Contact information
Practice address
301 E MAIN ST, SUITE 102, LOUISVILLE, KY 40202-1210
(502) 584-1322
Mailing address
301 E MAIN ST, SUITE 102, LOUISVILLE, KY 40202-1210
(502) 584-1322
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6527
KY
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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