PORTLAND DENTAL PSC is a dental clinic center in Louisville, KY. PORTLAND DENTAL PSC NPI is 1528118601. The provider is registered as an organization entity type.
The provider's business location address is:
465 NORTH 26TH STREET
LOUISVILLE, KY
ZIP 40212
Phone: (502) 778-7678
The provider's authorized official is Rodney Brent Fultz .
The authorized official title is Sec Treas and has the following contact phone number (502) 778-7678.
The enumeration date for this NPI number is 1/11/2007 and was last updated on 12/18/2007.