Individual
MARCELO TABORDA DURSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS, PHD
Contact information
Practice address
501 S PRESTON ST STE 7, LOUISVILLE, KY 40202-1701
(502) 852-7809
Mailing address
41 HIGHWOOD PL # 38, LOUISVILLE, KY 40206-3279
(502) 852-7809
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9501
KY
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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