Mortenson Family Dental Center - Independence, LLC
NPI #1760920805 in Independence, Kentucky
Provider Information
- NPI Number
- 1760920805
- Entity Type
- Organization
- Organization Name
- Mortenson Family Dental Center - Independence, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 9, 2017
- Last Updated
- Sep 5, 2023
Practice Location
- Address
- 2052 HARRIS PIKE
- City
- Independence
- State
- Kentucky
- ZIP Code
- 41051-7783
- Phone
- (859) 898-2255
Authorized Official
- Name
- JEFF REIBEL
- Title
- CFO
- Phone
- (502) 254-8500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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