Organization
STRULL & STRULL, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY EVAN STRULL DMD (ORAL SURGEON)
(502) 896-4401
Entity
Organization
Contact information
Practice address
4122 SHELBYVILLE RD, SUITE A, LOUISVILLE, KY 40207-3242
(502) 896-4401
(502) 893-4930
Mailing address
4122 SHELBYVILLE RD STE A, LOUISVILLE, KY 40207-3212
(502) 896-4401
(502) 893-4930
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001530A
—
IN
Enumeration date
03/30/2007
Last updated
03/04/2009
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