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Organization
VETERANS PARK FAMILY DENTISTRY PLLC
Active
Organization
VETERANS PARK FAMILY DENTISTRY PLLC
Active
Other names
nicole f. jenkins dmd
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE FALLAHZADEH JENKINS DMD (DENTIST)
(859) 272-0800
Entity
Organization
Contact information
Practice address
4384 CLEARWATER WAY, STE 110, LEXINGTON, KY 40515-6337
(859) 272-0800
Mailing address
4804 BRENNEN DR, LEXINGTON, KY 40515-6281
(859) 913-4472
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7878
KY
Other
Enumeration date
11/27/2006
Last updated
08/22/2020
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