Organization · Type 2 NPI
Lebanon Junction Dental Center, PLLC
Dental Clinic/Center · Lebanon Junction, KY
NPI number
1104198019
Active
Practice location
11737 S Preston Hwy
Lebanon Junction, KY 40150-8420
Mailing address
PO Box 437169
Louisville, KY 40253-7169
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 4935 (KY) |
Dental Clinic/Center: Definition to come...
3 other providers at this address
Other dental clinic/center providers in Lebanon Junction
About NPI 1104198019
Lebanon Junction Dental Center, PLLC's National Provider Identifier is 1104198019, issued on Feb 8, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Lebanon Junction, KY. The record was last updated on Mar 9, 2012.