Organization · Type 2 NPI
Mortenson Family Dental Center-Forest Green, PLLC
Dental Clinic/Center · Louisville, KY
NPI number
1972779445
Active
Practice location
10031 Forest Green Blvd
Louisville, KY 40223-5119
Fax (502) 412-7066
Mailing address
PO Box 437169
Louisville, KY 40253-7169
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1972779445
Mortenson Family Dental Center-Forest Green, PLLC's National Provider Identifier is 1972779445, issued on May 5, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Louisville, KY. The record was last updated on May 5, 2008.