Oxmoor Dental Care
Dentist, General Practice in Louisville, KY. Organization (NPI-2).
NPI number1326282914
StatusActive
Last updated in NPPESApr 27, 2009
Details
- NPI
- 1326282914
- Entity type
- Organization (NPI-2)
- Legal business name
- Oxmoor Dental Care
- Organization subpart
- No
- Enumeration date
- Apr 27, 2009
- Last updated
- Apr 27, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 8081 | KY | Yes |
Practice location
105 Lyndon Ln Ste 104Louisville, KY 40222-5550
Phone 502-412-2475 · Fax 502-326-7900
Mailing address
105 Lyndon Ln Ste 104Louisville, KY 40222-5550
Phone 502-412-2475 · Fax 502-326-7900
Authorized official
Nader Ehsani
Owner
5024121475
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