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Organization

CENTER FOR PLASTIC SURGERY PSC

Active
Other names
Dr. Sandra Bouzaglou
Organization subpart
No

Provider details

NPI number
Authorized official
DENISE SPARKS (OFFICE MANAGER)
(859) 263-8083
Entity
Organization

Contact information

Practice address
501 DARBY CREEK RD, SUITE 59, LEXINGTON, KY 40509-1604
(859) 263-8083
(859) 263-9160
Mailing address
501 DARBY CREEK RD, SUITE 59, LEXINGTON, KY 40509-1604
(859) 263-8083
(859) 263-9160

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25984
KY

Other

Enumeration date
07/18/2007
Last updated
10/15/2008
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