Organization
MORTENSON FAMILY DENTAL CENTER - INDEPENDENCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF REIBEL (CFO)
(502) 254-8500
Entity
Organization
Contact information
Practice address
2052 HARRIS PIKE, INDEPENDENCE, KY 41051-7783
(859) 898-2255
(859) 898-2730
Mailing address
2052 HARRIS PIKE, INDEPENDENCE, KY 41051-7783
(859) 898-2255
(859) 898-2730
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/09/2017
Last updated
09/05/2023
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