Organization · Type 2 NPI
Portland Dental PSC
Dental Clinic/Center · Louisville, KY
NPI number
1528118601
Active
Practice location
465 North 26th Street
Louisville, KY 40212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1528118601
Portland Dental PSC's National Provider Identifier is 1528118601, issued on Jan 11, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Louisville, KY. The record was last updated on Dec 18, 2007.