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1528792835
MITCHELL TIMOTHY FACKLER
FORT KNOX, KY
NPI
1528792835
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MI 2901601406)
Enumeration Date
2022-07-12
Last Update Date
2023-04-19
Business Address
Dr. MITCHELL TIMOTHY FACKLER DDS
968 1ST INFANTRY DIVISION RD
FORT KNOX, KY 40121-5210
Phone number: 502-626-8314
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Mailing Address
Dr. MITCHELL TIMOTHY FACKLER DDS
5879 ADAMS ST # A
FORT KNOX, KY 40121-4001
Phone number: 502-626-8314
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