| Harmon Dental Center At Lake Forest | |
|
2501 Bush Ridge Drive Louisville KY 40245 | |
| (614) 352-3050 | |
| Not Available |
| Full Name | Harmon Dental Center At Lake Forest |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2501 Bush Ridge Drive, Louisville, Kentucky |
| Authorized Official Name and Position | Bradley R. Harmon (MANAGER) |
| Authorized Official Contact | 6143523050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harmon Dental Center At Lake Forest 2501 Bush Ridge Drive Louisville KY 40245 Ph: (614) 352-3050 | Harmon Dental Center At Lake Forest 2501 Bush Ridge Drive Louisville KY 40245 Ph: (614) 352-3050 |
| NPI Number | 1033309489 |
|---|---|
| Provider Enumeration Date | 07/31/2007 |
| Last Update Date | 07/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033309489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8305 (Kentucky) | Primary |
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