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Individual

DR. MARK J SCHULTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
4515 CHURCHMAN AVE, LOUISVILLE, KY 40215-1109
(502) 361-0637
(502) 361-0636
Mailing address
4515 CHURCHMAN AVE, LOUISVILLE, KY 40215-1109
(502) 361-0637
(502) 361-0636

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4812
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60048121
KY
Enumeration date
02/10/2006
Last updated
08/31/2015
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