MITCHELL TIMOTHY FACKLER

FORT KNOX, KY
NPI1528792835
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MI  2901601406)
Enumeration Date2022-07-12
Last Update Date2023-04-19
Business Address
Dr. MITCHELL TIMOTHY FACKLER DDS
968 1ST INFANTRY DIVISION RD
FORT KNOX, KY 40121-5210
Phone number: 502-626-8314
Mailing Address
Dr. MITCHELL TIMOTHY FACKLER DDS
5879 ADAMS ST # A
FORT KNOX, KY 40121-4001
Phone number: 502-626-8314