Individual
DR. ALEXANDER SUKHORUKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4420 DIXIE HWY STE 110, LOUISVILLE, KY 40216-2986
(502) 447-3323
(913) 752-9116
Mailing address
1105 CLIFTY DR, MADISON, IN 47250-1614
(812) 273-0207
(812) 273-3366
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12012414A
IN
1223G0001X
General Practice Dentistry
Primary
9673
KY
Other
Enumeration date
08/24/2015
Last updated
10/30/2018
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