Provider First Line Business Practice Location Address:
UNIV OF LOUISVILLE SCHOOL OF DENTISTRY
Provider Second Line Business Practice Location Address:
501 S. PRESTON STREET
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40292-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-852-1226
Provider Business Practice Location Address Fax Number:
502-852-7595
Provider Enumeration Date:
07/27/2006