ETHAN HARRISON PERELLIS

LOUISVILLE, KY
NPI1629642079
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KY  10582)
Enumeration Date2021-05-19
Last Update Date2021-05-19
Business Address
Dr. ETHAN HARRISON PERELLIS DMD
9451 WESTPORT RD STE 109
LOUISVILLE, KY 40241-2295
Phone number: 502-412-5900
Mailing Address
Dr. ETHAN HARRISON PERELLIS DMD
9451 WESTPORT RD STE 109
LOUISVILLE, KY 40241-2295
Phone number: 502-412-5900
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