West End Family Dental Clinic Llc

NPI 1053734541 - Dentist - 1223G0001X

NPI Details
NPI 1053734541
Enumeration Date 02/04/2014
Last Updated 02/04/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name PHILLIP R. PHILLIP
Position OWNER
Phone (502) 772-0704
Fax (502) 772-9587
Practice Location
2418 W MARKET ST
LOUISVILLE KY, 40212-1539, US
Phone (502) 772-0704
Fax (502) 772-9587
Business Location
2418 W MARKET ST
LOUISVILLE KY, 40212-1539, US
Phone (502) 772-0704
Fax (502) 772-9587
Toxanomy
Taxonomy Code 1223G0001X
License State Kentucky
License Number 4776
Remove 1053734541 NPI Number
 

According to our database, West End Family Dental Clinic Llc NPI is 1053734541, taxonomy code is 1223G0001X and license number is 4776, license state is located at Kentucky. West End Family Dental Clinic Llc physically located at 2418 W Market St, Louisville KY, 40212-1539. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1053734541 NPI number is provided on an as is basis without warranty of any kind. 1053734541 is maintained by the National Plan & Provider Enumeration System. The contents of West End Family Dental Clinic Llc are for informational purposes only.