JOHN M MCCRILLIS

LOUISVILLE, KY
NPI1184678815
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KY  4612)
Enumeration Date2006-05-19
Last Update Date2016-05-17
Business Address
-- JOHN M MCCRILLIS
3935 DUPONT CIR SUITE C
LOUISVILLE, KY 40207-4824
Phone number: 502-458-7476
Mailing Address
-- JOHN M MCCRILLIS
3935 DUPONT CIR SUITE C
LOUISVILLE, KY 40207-4824
Phone number: 502-458-7476
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