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Organization
MASTERSON DENTISTRY
Active
Organization
MASTERSON DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. XIA Y FEHR D.M.D (OWNER)
(859) 243-0332
Entity
Organization
Contact information
Practice address
1500 LEESTOWN RD, SUITE #100, LEXINGTON, KY 40511-2044
(859) 243-0332
Mailing address
1500 LEESTOWN RD, SUITE #100, LEXINGTON, KY 40511-2044
(859) 243-0332
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7620
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60000957
—
KY
Enumeration date
12/05/2011
Last updated
12/05/2011
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