Individual
DR. FRED LOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5141 DIXIE HWY, SUITE 104, LOUISVILLE, KY 40216-1765
(502) 448-7988
(502) 447-9326
Mailing address
5141 DIXIE HWY, SUITE 104, LOUISVILLE, KY 40216-1765
(502) 448-7988
(502) 447-9326
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3880
KY
174400000X
Specialist
KY3880
KY
Other
Enumeration date
10/13/2005
Last updated
08/21/2012
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