NEVILLE KALLARACKEL JACOB

LOUISVILLE, KY
NPI1811226715
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: KY  9859)
Enumeration Date2009-12-24
Last Update Date2017-09-05
Business Address
DR. NEVILLE KALLARACKEL JACOB BDS,DDS
4420 DIXIE HWY STE 110
LOUISVILLE, KY 40216-2986
Phone number: 502-447-3323
Mailing Address
DR. NEVILLE KALLARACKEL JACOB BDS,DDS
7517 CELEBRATION WAY
CRESTWOOD, KY 40014
Phone number: 317-702-0660
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