Individual
MR. TERRELL LEE PENDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1221 BARDSTOWN ROAD, LOUISVILLE, KY 40204-1303
(502) 452-1877
Mailing address
1221 BARDSTOWN ROAD, LOUISVILLE, KY 40204-1303
(502) 452-1877
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5452
KY
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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