Mortenson Family Dental Center - Dixie at Rockford Lane, Pllc

NPI #1013309905 in Louisville, Kentucky

Provider Information

NPI Number: 1013309905
Entity Type: Organization
Organization Name: Mortenson Family Dental Center - Dixie at Rockford Lane, Pllc
Primary Specialty: Dentist
Enumeration Date: Mar 2, 2015
Last Updated: Mar 2, 2015

Practice Location

Address: 4740 DIXIE HWY
City: Louisville
State: Kentucky
ZIP Code: 40216-2656
Phone: (502) 447-8992

Authorized Official

Name: STEPHEN JAMES
Title: CFO
Phone: (502) 254-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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