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Organization
JUSTICE DENTAL BLAZER PLLC
Active
Organization
JUSTICE DENTAL BLAZER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA LYNN SISLER (INSURANCE COORDINATOR)
(859) 543-0700
Entity
Organization
Contact information
Practice address
3285 BLAZER PKWY STE 200, LEXINGTON, KY 40509-2119
(859) 543-0700
(859) 543-1078
Mailing address
3285 BLAZER PKWY STE 200, LEXINGTON, KY 40509-2119
(859) 543-0700
(859) 543-1078
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
07/15/2020
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