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Individual

DR. ALMA LJALJEVIC-TUCAKOVIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
401 E. CHESTNUT ST., STE. 550, LOUISVILLE, KY 40202
(502) 852-5401
(502) 852-7602
Mailing address
501 S. PRESTON ST., RM 122, LOUISVILLE, KY 40292
(502) 852-5103
(502) 852-5128

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7858
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
15873
KY
05
60001617
KY
Enumeration date
10/14/2005
Last updated
03/18/2009
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