| Calisu 3, Pllc | |
|
5912 Bardstown Rd Louisville KY 40291-1957 | |
| (502) 239-0881 | |
| (502) 239-0887 |
| Full Name | Calisu 3, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 5912 Bardstown Rd, Louisville, Kentucky |
| Authorized Official Name and Position | Angela F Laiacono (FRONT DESK) |
| Authorized Official Contact | 5024512212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Calisu 3, Pllc 5912 Bardstown Rd Louisville KY 40291-1957 Ph: (502) 239-0881 | Calisu 3, Pllc 5912 Bardstown Rd Louisville KY 40291-1957 Ph: (502) 239-0881 |
| NPI Number | 1730831009 |
|---|---|
| Provider Enumeration Date | 01/19/2022 |
| Last Update Date | 01/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730831009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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