GREATER LOUISVILLE ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, PSC
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1649271263- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3101 BRECKENRIDGE LN STE 2D, LOUISVILLE, KY, 402202742
- Phone
- (502) 459-8012
- Fax
- (502) 459-8021
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: KY