Mfdc of Ky LLC

NPI #1437742855 in Dry Ridge, Kentucky

Provider Information

NPI Number: 1437742855
Entity Type: Organization
Organization Name: Mfdc of Ky LLC
Subpart: Yes (part of a larger organization)
Parent Organization: MORTENSON FAMILY DENTAL CENTER
Primary Specialty: Dentist
Enumeration Date: Feb 17, 2021
Last Updated: May 28, 2021

Practice Location

Address: 99 S MAIN ST
City: Dry Ridge
State: Kentucky
ZIP Code: 41035-7343
Phone: (859) 785-5717

Authorized Official

Name: JEFF REIBEL
Title: CFO
Phone: (502) 254-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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