Todd Mortenson, DMD Valid NPI
Individual provider · General Practice Dentistry · Lagrange, KY
- NPI
- 1720195969
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 7374 (KY)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-08-24
- Last updated
- 2007-07-08
Practice location
2005 S Highway 53
Lagrange, KY 40031-9109
(502) 225-0074