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Organization

BRIAN A. MARRILLIA DMD, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN A MARRILLIA DMD (PRESIDENT)
(502) 935-1414
Entity
Organization

Contact information

Practice address
6788 DIXIE HWY, LOUISVILLE, KY 40258-3912
(502) 935-1414
(502) 935-1795
Mailing address
6788 DIXIE HWY, LOUISVILLE, KY 40258-3912
(502) 935-1414
(502) 935-1795

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7549
KY

Other

Enumeration date
05/14/2007
Last updated
04/14/2008
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