3rd Street Family Dental
NPI #1124330337 in Louisville, Kentucky
Provider Information
- NPI Number
- 1124330337
- Entity Type
- Organization
- Organization Name
- 3rd Street Family Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 6, 2010
- Last Updated
- Jul 6, 2010
Practice Location
- Address
- 3911 S 3RD ST
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40214-1601
- Phone
- (502) 368-5575
Authorized Official
- Name
- MRS. KATHY DEGRAAFF
- Title
- PRESIDENT
- Phone
- (502) 368-5575
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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