Organization
MORTENSON FAMILY DENTAL CENTER - GEORGETOWN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN JAMES (CFO)
(502) 254-8500
Entity
Organization
Contact information
Practice address
1508 OXFORD DR, GEORGETOWN, KY 40324-9266
(502) 863-0880
(502) 867-7363
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
(502) 867-7363
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2010
Last updated
07/19/2018
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