Kirulus Wifky
Kirulus Wifky is a General Practice Dentistry in Antioch, Tennessee. Licensed in Tennessee. Registered with an NPI since 2021.
- Licensed in
- TN
- In the registry since
- 2021
Practice location Address checks out
1501 Hamilton Cross DrAntioch, TN 37013-4195
Phone: (615) 972-4263
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Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 11712 (TN) |
|---|
Record details
| NPI number | 1316617590 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 17, 2021 |
| Last updated in NPPES | September 17, 2021 |
| Certification date | September 17, 2021 |
| Mailing address | 1501 Hamilton Cross Dr, Antioch, TN 37013-4195 |
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-
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