CARL EDMOND TACKETT

PIKEVILLE, KY
NPI1659475721
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KY  4245)
Enumeration Date2006-09-11
Last Update Date2007-07-08
Business Address
-- CARL EDMOND TACKETT DMD
419 TOWN MTN RD SUITE 105
PIKEVILLE, KY 41501
Phone number: 606-432-0346
Mailing Address
-- CARL EDMOND TACKETT DMD
419 TOWN MTN RD SUITE 105
PIKEVILLE, KY 41501
Phone number: 606-432-0346
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