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