Organization
MORTENSON FAMILY DENTAL CENTER- CARROLLTON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN JAMES (CFO)
(502) 254-8504
Entity
Organization
Contact information
Practice address
2482 HWY 227, CARROLLTON, KY 41008-8048
(502) 732-0333
(502) 732-0328
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
(502) 254-8501
(502) 805-1957
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
06/16/2014
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