| Brian A. Marrillia Dmd, Psc | |
|
6788 Dixie Hwy Louisville KY 40258-3912 | |
| (502) 935-1414 | |
| (502) 935-1795 |
| Full Name | Brian A. Marrillia Dmd, Psc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6788 Dixie Hwy, Louisville, Kentucky |
| Authorized Official Name and Position | Brian A Marrillia (PRESIDENT) |
| Authorized Official Contact | 5029351414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian A. Marrillia Dmd, Psc 6788 Dixie Hwy Louisville KY 40258-3912 Ph: (502) 935-1414 | Brian A. Marrillia Dmd, Psc 6788 Dixie Hwy Louisville KY 40258-3912 Ph: (502) 935-1414 |
| NPI Number | 1437365087 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 04/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437365087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7549 (Kentucky) | Primary |
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