Individual
MRS. PATRICIA PORTUGAL DURSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
501 S PRESTON ST, LOUISVILLE, KY 40202-1701
(502) 852-5096
Mailing address
5722 COACH GATE WYNDE, LOUISVILLE, KY 40207-2269
(502) 322-3142
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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