Mortenson Family Dental

NPI #1487757761 in Carlisle, Kentucky

Provider Information

NPI Number
1487757761
Entity Type
Organization
Organization Name
Mortenson Family Dental
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Sep 5, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
110 N. LOCUST ST
ZIP Code
40311
Phone
(859) 289-5418

Authorized Official

Name
DR. OWEN WAYUNE MORTENSON, DMD
Title
GEN. DENTIST/OWNER
Phone
(502) 245-8627

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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