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Individual

DR. ALICIA MARIA TENRRERO-VILLALON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
4814 OUTER LOOP, LOUISVILLE, KY 40219-3302
(502) 473-6974
Mailing address
5000 WOODHILL LN, LOUISVILLE, KY 40219-2867
(502) 295-1908

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10338
KY

Other

Enumeration date
07/02/2019
Last updated
07/02/2019
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