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1700075256
MICHAEL ROBERT VILLACARLOS
FORT KNOX, KY
NPI
1700075256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NJ 22DI02365400)
Enumeration Date
2007-10-22
Last Update Date
2015-07-01
Business Address
Dr. MICHAEL ROBERT VILLACARLOS DDS
398 192ND ARMORED TANK BATTALION RD, BLDG 1022 RM 231 USA DENTAC
FORT KNOX, KY 40121-5116
Phone number: 502-624-6158
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Mailing Address
Dr. MICHAEL ROBERT VILLACARLOS DDS
398 192ND ARMORED TANK BATTALION RD, BLDG 1022 RM 231 USA DENTAC
FORT KNOX, KY 40121-5116
Phone number: 502-624-6158
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