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Individual

DR. JERI LYNNETTE STULL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D., M.S.

Contact information

Practice address
637 HIGHLAND AVE, FORT THOMAS, KY 41075-1746
(859) 781-2662
(859) 781-1029
Mailing address
637 HIGHLAND AVE, FORT THOMAS, KY 41075-1746
(859) 781-2662
(859) 781-1029

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7053
KY

Other

Enumeration date
07/30/2006
Last updated
07/08/2007
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