Mortenson Family Dental Center - Prospect Pllc

NPI #1588768758 in Prospect, Kentucky

Provider Information

NPI Number
1588768758
Entity Type
Organization
Organization Name
Mortenson Family Dental Center - Prospect Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Sep 11, 2006
Last Updated
Apr 14, 2015

Practice Location

Address
9219 US HIGHWAY 42
ZIP Code
40059-8857
Phone
(502) 228-2709

Authorized Official

Name
KATHIE ARMSTRONG
Title
DIRECTOR OF CREDENTIALING
Phone
(502) 254-8501

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice
Clinic/Center - DentalDental

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