Organization
MORTENSON FAMILY DENTAL CENTER-SHELBYVILLE EAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE JAMES (CFO)
(502) 254-8504
Entity
Organization
Contact information
Practice address
502 MOUNT EDEN RD, SHELBYVILLE, KY 40065-8871
(502) 633-1538
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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