| Braces Braces Braces - Westport | |
|
1106 Lyndon Ln Suite B Louisville KY 40222-4318 | |
| (502) 254-6085 | |
| (502) 533-3967 |
| Full Name | Braces Braces Braces - Westport |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1106 Lyndon Ln, Louisville, Kentucky |
| Authorized Official Name and Position | Kathie Armstrong (CFO) |
| Authorized Official Contact | 5022548501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Braces Braces Braces - Westport 1106 Lyndon Ln Suite B Louisville KY 40222-4318 Ph: (502) 254-6085 | Braces Braces Braces - Westport 1106 Lyndon Ln Suite B Louisville KY 40222-4318 Ph: (502) 254-6085 |
| NPI Number | 1760878300 |
|---|---|
| Provider Enumeration Date | 04/10/2015 |
| Last Update Date | 04/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760878300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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