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1932204237
MATTHEW TYLER DEDOMENICO
LOUISVILLE, KY
NPI
1932204237
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: KY 8353)
Enumeration Date
2006-09-13
Last Update Date
2017-06-13
Business Address
Dr. MATTHEW TYLER DEDOMENICO DMD
UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY 501 S. PRESTON ST.
LOUISVILLE, KY 40292-0001
Phone number: 502-852-5128
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Mailing Address
Dr. MATTHEW TYLER DEDOMENICO DMD
UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY 501 S. PRESTON ST.
LOUISVILLE, KY 40292-0001
Phone number: 502-852-5128
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