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1720163413
CHARLES MITCHELL LUCKETT
LOUISVILLE, KY
NPI
1720163413
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: KY 7852)
Enumeration Date
2006-10-25
Last Update Date
2007-07-08
Business Address
Dr. CHARLES MITCHELL LUCKETT DMD
8009 BARDSTOWN RD
LOUISVILLE, KY 40291-3439
Phone number: 502-231-6474
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Mailing Address
Dr. CHARLES MITCHELL LUCKETT DMD
8009 BARDSTOWN RD
LOUISVILLE, KY 40291-3439
Phone number: 502-231-6474
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