Individual
DR. ISAAC CHARLES SEBOURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
479 LEXINGTON RD STE 103, VERSAILLES, KY 40383-1979
(859) 873-4451
Mailing address
UNIT 28038, BAVARIA, APO, AE 09112-8038
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9191
KY
Other
Enumeration date
08/13/2012
Last updated
04/05/2022
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