Individual
AVESTA ADIL SHABILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
740 SOUTH LIMESTONE A262 KY CLINIC, LEXINGTON, KY 40536-0001
(859) 323-6723
Mailing address
740 SOUTH LIMESTONE, LEXINGTON, KY 40536-0001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10700
KY
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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