TERRY GRUELLE

FORT THOMAS, KY
NPI1669929519
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: KY  4118)
Enumeration Date2016-09-08
Last Update Date2016-09-08
Business Address
-- TERRY GRUELLE
40 N GRAND AVE SUITE 301
FORT THOMAS, KY 41075-4107
Phone number: 859-441-2369
Mailing Address
-- TERRY GRUELLE
40 N GRAND AVE SUITE 301
FORT THOMAS, KY 41075-4107
Phone number: 859-441-2369