Organization
HEATHER KILLEBREW TUTOR, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER KILLEBREW TUTOR DMD (OWNER)
(662) 834-9899
Entity
Organization
Contact information
Practice address
302 COURT SQUARE, LEXINGTON, MS 39095
(662) 834-9899
(662) 834-9895
Mailing address
302 COURT SQUARE, LEXINGTON, MS 39095
(662) 834-9899
(662) 834-9895
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3145-00
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015878
—
MS
Enumeration date
08/13/2008
Last updated
01/04/2017
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