Individual
DR. HEATHER KILLEBREW TUTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
102 CARROLLTON AVE, LEXINGTON, MS 39095-3250
(662) 834-9899
(662) 834-9895
Mailing address
102 CARROLLTON AVE, P O BOX 734, LEXINGTON, MS 39095-3250
(662) 834-9899
(662) 834-9895
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3145-00
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015878
—
MS
Enumeration date
08/09/2006
Last updated
07/08/2007
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