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1093219479
MATTHEW TEWELL
LOUISVILLE, KY
NPI
1093219479
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: KY 10170)
Enumeration Date
2018-03-21
Last Update Date
2020-12-11
Business Address
Dr. MATTHEW TEWELL
9900 3RD STREET RD
LOUISVILLE, KY 40272-2804
Phone number: 502-933-2228
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Mailing Address
Dr. MATTHEW TEWELL
9900 3RD STREET RD
LOUISVILLE, KY 40272-2804
Phone number: 502-933-2228
Copy
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