Individual
SANDRO BASSO BITENCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
501 S PRESTON ST, LOUISVILLE, KY 40202-1701
(502) 852-5401
Mailing address
1221 E BROADWAY APT 323, LOUISVILLE, KY 40204-2540
(502) 533-8597
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
10843
KY
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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