Mortenson Family Dental

NPI #1790897882 in Louisville, Kentucky

Provider Information

NPI Number
1790897882
Entity Type
Organization
Organization Name
Mortenson Family Dental
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Aug 31, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1430 POPLAR LEVEL RD
ZIP Code
40217-1345
Phone
(502) 636-0311

Authorized Official

Name
DR. OWEN WAYNE MORTENSON
Title
GEN. DENTIST/OWNER
Phone
(502) 636-0311

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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