Individual
DR. L. DAVID O'BANION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
138 N EVERGREEN RD, SUITE 103, LOUISVILLE, KY 40243-1410
(052) 245-3707
(502) 245-2671
Mailing address
138 N EVERGREEN RD, SUITE 103, LOUISVILLE, KY 40243-1410
(052) 245-3707
(502) 245-2671
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12010515A
FL
1223G0001X
General Practice Dentistry
Primary
5869
KY
1223G0001X
General Practice Dentistry
DN 10956
IN
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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